| Satish K Gottumukkula Dmd Ltd | |
|
1940 W Galena Blvd Ste #8 Aurora IL 60506-4319 | |
| (630) 892-2193 | |
| (630) 892-3563 |
| Full Name | Satish K Gottumukkula Dmd Ltd |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1940 W Galena Blvd, Aurora, Illinois |
| Authorized Official Name and Position | Samantha Kothapalli (ASSOCIATE) |
| Authorized Official Contact | 6308036431 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Satish K Gottumukkula Dmd Ltd 1940 W Galena Blvd Ste #8 Aurora IL 60506-4319 Ph: (630) 892-2193 | Satish K Gottumukkula Dmd Ltd 1940 W Galena Blvd Ste #8 Aurora IL 60506-4319 Ph: (630) 892-2193 |
| NPI Number | 1568763605 |
|---|---|
| Provider Enumeration Date | 11/05/2010 |
| Last Update Date | 11/05/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568763605 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 019026612 (Illinois) | Primary |
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