DR. Shuba Anantha, D.D.S.

NPI #1346239902 in Gurnee, Illinois

Provider Information

NPI Number
1346239902
Entity Type
Individual
Name
DR. Shuba Anantha, D.D.S.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - General Practice
Credential
D.D.S.
Enumeration Date
Oct 17, 2005
Last Updated
Apr 28, 2010

Practice Location

Address
5445 GRAND AVE
City
Gurnee
ZIP Code
60031-1725
Phone
(847) 244-2775

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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