DR. Srinivasulu Kakollu, D.D.S
NPI #1265744189 in Bloomington, Illinois
Provider Information
- NPI Number
- 1265744189
- Entity Type
- Individual
- Name
- DR. Srinivasulu Kakollu, D.D.S
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist
- Credential
- D.D.S
- Enumeration Date
- Jul 8, 2010
- Last Updated
- Mar 11, 2013
Practice Location
- Address
- 1407 N VETERANS PKWY STE 12
- City
- Bloomington
- State
- Illinois
- ZIP Code
- 61704-6425
- Phone
- (732) 379-0953
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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