Satish K Gottumukkula Dmd Ltd

NPI #1568763605 in Aurora, Illinois

Provider Information

NPI Number: 1568763605
Entity Type: Organization
Organization Name: Satish K Gottumukkula Dmd Ltd
Primary Specialty: Dentist - General Practice
Enumeration Date: Nov 5, 2010
Last Updated: Nov 5, 2010

Practice Location

Address: 1940 W GALENA BLVD
Address 2: STE #8
City: Aurora
State: Illinois
ZIP Code: 60506-4319
Phone: (630) 892-2193

Authorized Official

Name: DR. SAMANTHA KOTHAPALLI, DMD
Title: ASSOCIATE
Phone: (630) 803-6431

Specialties & Taxonomy Codes

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

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