Divya Gade
NPI #1093385312 in Bloomington, Illinois
Provider Information
- NPI Number
- 1093385312
- Entity Type
- Individual
- Name
- Divya Gade
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jun 29, 2021
- Last Updated
- Jul 10, 2021
Practice Location
- Address
- 1407 N VETERANS PKWY STE 12
- City
- Bloomington
- State
- Illinois
- ZIP Code
- 61704-6425
- Phone
- (309) 233-3922
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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