DR. Venkat Yashaswi Kondapalli

NPI #1740704832 in Peoria, Illinois

Provider Information

NPI Number
1740704832
Entity Type
Individual
Name
DR. Venkat Yashaswi Kondapalli
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist - General Practice
Enumeration Date
Jul 31, 2017
Last Updated
Jul 31, 2017

Practice Location

Address
1200 W MAIN ST STE 9
City
Peoria
ZIP Code
61606-1218
Phone
(309) 777-9777

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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