SHIVANI CHETAN DESAI

BLOOMINGTON, IL
NPI1184032666
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: IL  019029949)
Enumeration Date2014-07-28
Last Update Date2014-07-28
Business Address
Dr. SHIVANI CHETAN DESAI DMD
1904 WAKEFIELD LN
BLOOMINGTON, IL 61704-9196
Phone number: 309-287-4952
Mailing Address
Dr. SHIVANI CHETAN DESAI DMD
1904 WAKEFIELD LN
BLOOMINGTON, IL 61704-9196
Phone number: 309-287-4952
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