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1043990211
AFFINITY DENTAL URBANA LLC
URBANA, IL
NPI
1043990211
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Entity Type
Organization
Authorized Contact
SRINIVAS DURSHANAPALLI
President
203-215-4687
Organization Subpart ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
Enumeration Date
2023-07-21
Last Update Date
2023-07-21
Business Address
AFFINITY DENTAL URBANA LLC
1720 PHILO RD STE A
URBANA, IL 61802-6300
Phone number: 217-850-7777
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Mailing Address
AFFINITY DENTAL URBANA LLC
1720 PHILO RD STE A
URBANA, IL 61802-6300
Phone number: 217-850-7777
Copy
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