DR. Susan Edukutharayil, D.D.S.

NPI #1790857886 in Elgin, Illinois

Provider Information

NPI Number: 1790857886
Entity Type: Individual
Name: DR. Susan Edukutharayil, D.D.S.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: D.D.S.
Enumeration Date: Nov 14, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 115 S GROVE AVE
Address 2: STE 204
City: Elgin
State: Illinois
ZIP Code: 60120-6430
Phone: (847) 608-1122

Specialties & Taxonomy Codes

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

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