Yashodhan Ghodke

NPI #1104347343 in Peoria, Illinois

Provider Information

NPI Number: 1104347343
Entity Type: Individual
Name: Yashodhan Ghodke
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Enumeration Date: Jun 28, 2017
Last Updated: Jun 28, 2017

Practice Location

Address: 1403 W GLEN AVE
City: Peoria
State: Illinois
ZIP Code: 61614-4705
Phone: (888) 988-4066

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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