Affinity Dental Urbana LLC

NPI #1043990211 in Urbana, Illinois

Provider Information

NPI Number: 1043990211
Entity Type: Organization
Organization Name: Affinity Dental Urbana LLC
Primary Specialty: Dentist - General Practice
Enumeration Date: Jul 21, 2023
Last Updated: Jul 21, 2023

Practice Location

Address: 1720 PHILO RD STE A
City: Urbana
State: Illinois
ZIP Code: 61802-6300
Phone: (217) 850-7777

Authorized Official

Name: SRINIVAS DURSHANAPALLI, DDS
Title: PRESIDENT
Phone: (203) 215-4687

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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