DR. Kayathri Ponnusamy, DMD

NPI #1194566406 in Frankfort, Illinois

Provider Information

NPI Number
1194566406
Entity Type
Individual
Name
DR. Kayathri Ponnusamy, DMD
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist
Credential
DMD
Enumeration Date
Jun 3, 2024
Last Updated
Jun 3, 2024

Practice Location

Address
11137 W LINCOLN HWY
ZIP Code
60423-7428
Phone
(815) 277-2840

Specialties & Taxonomy Codes

Specialty
Dentist

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