Priyatirumalasetty, DDS PC

NPI #1114241650 in Chicago, Illinois

Provider Information

NPI Number: 1114241650
Entity Type: Organization
Organization Name: Priyatirumalasetty, DDS PC
Primary Specialty: Dentist - General Practice
Enumeration Date: Mar 25, 2010
Last Updated: Mar 25, 2010

Practice Location

Address: 223 W JACKSON BLVD STE 1106
City: Chicago
State: Illinois
ZIP Code: 60606-6900
Phone: (312) 880-1400

Authorized Official

Name: DR. PRIYA TIRUMALASETTY, DDS
Title: DENTIST/OWNER
Phone: (312) 880-1400

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X
Dental Hygienist	124Q00000X
Dentist - General Practice — General Practice	1223G0001X	Primary

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