| Dentist In Bloomingdale Llc | |
|
366 W Army Trail Rd Ste 310a Bloomingdale IL 60108-5602 | |
| (803) 830-6881 | |
| Not Available |
| Full Name | Dentist In Bloomingdale Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 366 W Army Trail Rd Ste 310a, Bloomingdale, Illinois |
| Authorized Official Name and Position | Sunil Reddy Eamani (MANAGER) |
| Authorized Official Contact | 8038306881 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dentist In Bloomingdale Llc 366 W Army Trail Rd Ste 310a Bloomingdale IL 60108-5602 Ph: (803) 830-6881 | Dentist In Bloomingdale Llc 366 W Army Trail Rd Ste 310a Bloomingdale IL 60108-5602 Ph: (803) 830-6881 |
| NPI Number | 1093539363 |
|---|---|
| Provider Enumeration Date | 11/13/2024 |
| Last Update Date | 11/13/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093539363 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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