PRAVEEN KUMAR GAJENDRAREDDY

CHICAGO, IL
NPI1265675680
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223P0300X Dentist, Periodontics
(Licence: IL  021.002403)
Enumeration Date2009-04-15
Last Update Date2011-12-13
Business Address
-- PRAVEEN KUMAR GAJENDRAREDDY DDS
801 S PAULINA ST M/C 621
CHICAGO, IL 60612-7210
Phone number: 614-657-8312
Mailing Address
-- PRAVEEN KUMAR GAJENDRAREDDY DDS
1841 MAINE DR
ELK GROVE VILLAGE, IL 60007-2728
Phone number: 614-657-8312
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