Shruti Pore, D.M.D

NPI #1821413451 in Bartonville, Illinois

Provider Information

NPI Number: 1821413451
Entity Type: Individual
Name: Shruti Pore, D.M.D
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: D.M.D
Enumeration Date: Feb 18, 2014
Last Updated: Aug 28, 2015

Practice Location

Address: 1522 W GARFIELD AVE
City: Bartonville
State: Illinois
ZIP Code: 61607-1755
Phone: (309) 697-2228

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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