VENKAT YASHASWI KONDAPALLI

PEORIA, IL
NPI1740704832
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: IL  019031291)
Enumeration Date2017-07-31
Last Update Date2017-07-31
Business Address
Dr. VENKAT YASHASWI KONDAPALLI
1200 W MAIN ST STE 9
PEORIA, IL 61606-1218
Phone number: 309-777-9777
Mailing Address
Dr. VENKAT YASHASWI KONDAPALLI
9701 N LANTANA LN APT 10201
PEORIA, IL 61615-7421
Phone number: 716-430-5860