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1700038908
BHAWNA PRASAD
CRYSTAL LAKE, IL
NPI
1700038908
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: IL 019026129)
Enumeration Date
2008-10-21
Last Update Date
2008-10-21
Business Address
Dr. BHAWNA PRASAD DDS
5911 NORTHWEST HWY. STE. 104 WINDSOR DENTAL, P.C.
CRYSTAL LAKE, IL 60014
Phone number: 815-479-0944
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Mailing Address
Dr. BHAWNA PRASAD DDS
5911 NORTHWEST HWY. STE. 104 WINDSOR DENTAL, P.C.
CRYSTAL LAKE, IL 60014
Phone number: 815-479-0944
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