MALAVIKA PRASANNA

MELROSE PARK, IL
NPI1104130038
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist General Practice
(Licence: IL  019028441)
Enumeration Date2010-08-03
Last Update Date2010-08-03
Business Address
DR. MALAVIKA PRASANNA BDS,DDS
2537 W NORTH AVE
MELROSE PARK, IL 60160-1121
Phone number: 312-274-0308
Mailing Address
DR. MALAVIKA PRASANNA BDS,DDS
430 W ERIE ST SUITE 200
CHICAGO, IL 60654-6914
Phone number: 920-838-1649
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