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1740704832
VENKAT YASHASWI KONDAPALLI
PEORIA, IL
NPI
1740704832
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: IL 019031291)
Enumeration Date
2017-07-31
Last Update Date
2017-07-31
Business Address
Dr. VENKAT YASHASWI KONDAPALLI
1200 W MAIN ST STE 9
PEORIA, IL 61606-1218
Phone number: 309-777-9777
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Mailing Address
Dr. VENKAT YASHASWI KONDAPALLI
9701 N LANTANA LN APT 10201
PEORIA, IL 61615-7421
Phone number: 716-430-5860
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