KETAN S BEDMUTHA

CHICAGO, IL
NPI1851896286
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: IL  019.032066)
Enumeration Date2018-03-27
Last Update Date2021-04-24
Business Address
KETAN S BEDMUTHA DMD
1950 W CERMAK RD
CHICAGO, IL 60608-4204
Phone number: 773-376-2777
Mailing Address
KETAN S BEDMUTHA DMD
601 W JACKSON BLVD UNIT 1404
CHICAGO, IL 60661-5642
Phone number: 716-725-1593