BHARATH VAMSI KRISHN SREEKANTAM

BLOOMINGTON, IL
NPI1265926745
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: IL  019.031751)
Enumeration Date2018-06-19
Last Update Date2018-06-19
Business Address
BHARATH VAMSI KRISHN SREEKANTAM DDS
401 N VETERANS PKWY STE 4
BLOOMINGTON, IL 61704-7716
Phone number: 267-394-3903
Mailing Address
BHARATH VAMSI KRISHN SREEKANTAM DDS
132 AFFINITY LN APT C
BUFFALO, NY 14215-2483
Phone number: 267-394-3903