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1629591854
PRAMOD TADAKAMALLA
SPRINGFIELD, IL
NPI
1629591854
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: IL 019.031274)
Enumeration Date
2017-07-19
Last Update Date
2017-07-19
Business Address
PRAMOD TADAKAMALLA DDS
907 S 6TH ST
SPRINGFIELD, IL 62703-2401
Phone number: 716-548-3741
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Mailing Address
PRAMOD TADAKAMALLA DDS
907 S 6TH ST
SPRINGFIELD, IL 62703-2401
Phone number: 716-548-3741
Copy
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