Kashyap Maddali, DDS

NPI #1316353477 in Rockford, Illinois

Provider Information

NPI Number: 1316353477
Entity Type: Individual
Name: Kashyap Maddali, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: Jul 9, 2014
Last Updated: Jul 9, 2014

Practice Location

Address: 1301 N ALPINE RD
City: Rockford
State: Illinois
ZIP Code: 61107-2262
Phone: (815) 397-4280

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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