Dentist in Bloomingdale LLC
NPI #1093539363 in Bloomingdale, Illinois
Provider Information
- NPI Number
- 1093539363
- Entity Type
- Organization
- Organization Name
- Dentist in Bloomingdale LLC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Nov 13, 2024
- Last Updated
- Nov 13, 2024
Practice Location
- Address
- 366 W ARMY TRAIL RD STE 310A
- City
- Bloomingdale
- State
- Illinois
- ZIP Code
- 60108-5602
- Phone
- (803) 830-6881
Authorized Official
- Name
- MR. SUNIL REDDY EAMANI
- Title
- MANAGER
- Phone
- (803) 830-6881
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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