SHREYA KOTA

BERWYN, IL
NPI1942789847
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: IL  019.031741)
Additional Taxonomies1223G0001X Dentist, General Practice
(Licence: IL  01903741)
Enumeration Date2018-08-10
Last Update Date2018-08-10
Business Address
Dr. SHREYA KOTA DMD
7001 OGDEN AVE
BERWYN, IL 60402-3652
Phone number: 708-652-2468
Mailing Address
Dr. SHREYA KOTA DMD
7001 OGDEN AVE
BERWYN, IL 60402-3652
Phone number: 708-652-2468