SRINIVASULU KAKOLLU

BLOOMINGTON, IL
NPI1265744189
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: IL  019028401)
Enumeration Date2010-07-08
Last Update Date2013-03-11
Business Address
Dr. SRINIVASULU KAKOLLU d.d.s
1407 N VETERANS PKWY STE 12
BLOOMINGTON, IL 61704-6425
Phone number: 732-379-0953
Mailing Address
Dr. SRINIVASULU KAKOLLU d.d.s
1407 N VETERANS PKWY STE 12
BLOOMINGTON, IL 61704-6425
Phone number: 732-379-0953
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