Srutha Keerthi Chebolu
NPI #1326663873 in Bloomington, Illinois
Provider Information
- NPI Number
- 1326663873
- Entity Type
- Individual
- Name
- Srutha Keerthi Chebolu
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jun 10, 2020
- Last Updated
- Jun 10, 2020
Practice Location
- Address
- 401 N VETERANS PKWY STE 4
- City
- Bloomington
- State
- Illinois
- ZIP Code
- 61704-7716
- Phone
- (309) 808-1317
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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