DR. Manita Grover Utreja, DMD

NPI #1205454469 in Glen Carbon, Illinois

Provider Information

NPI Number: 1205454469
Entity Type: Individual
Name: DR. Manita Grover Utreja, DMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DMD
Enumeration Date: Jul 13, 2020
Last Updated: Oct 23, 2024

Practice Location

Address: 148 NORTHBAY CT
City: Glen Carbon
State: Illinois
ZIP Code: 62034-2994
Phone: (317) 693-9801

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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