| NPI | 1356705305 |
|---|---|
| Doing Business As | DR. DENTAL |
| Entity Type | Organization |
| Authorized Contact | SUNEEL KUMAR NAMBURI Dentist 630-730-9676 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: NM DD4343) |
| Enumeration Date | 2016-04-06 |
| Last Update Date | 2022-09-19 |