Kandimalla Dental Pllc

NPI #1558994392 in Bolingbrook, Illinois

Provider Information

NPI Number: 1558994392
Entity Type: Organization
Organization Name: Kandimalla Dental Pllc
Primary Specialty: Dentist - General Practice
Enumeration Date: Feb 20, 2020
Last Updated: Jun 21, 2022

Practice Location

Address: 772 S WEBER RD
City: Bolingbrook
State: Illinois
ZIP Code: 60490-5472
Phone: (630) 518-2272

Authorized Official

Name: DR. KALPANA N KANDIMALLA, DDS
Title: OWNER DENTIST
Phone: (630) 518-2272

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X
Dentist - General Practice — General Practice	1223G0001X	Primary

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