| Shruti Pore, DMD | |
|
1522 W Garfield Ave, Bartonville, IL 61607-1755 | |
| (309) 697-2228 | |
| Not Available |
| Full Name | Shruti Pore |
|---|---|
| Gender | Female |
| Speciality | Dentist |
| Location | 1522 W Garfield Ave, Bartonville, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821413451 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 019030433 (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Shruti Pore, DMD 1518 W Garfield Ave, Bartonville, IL 61607-1755 Ph: () - | Shruti Pore, DMD 1522 W Garfield Ave, Bartonville, IL 61607-1755 Ph: (309) 697-2228 |
Dr. Jessica Kathryn Dean, D.M.D Dentist Medicare: Not Enrolled in Medicare Practice Location: 1522 W Garfield Ave, Bartonville, IL 61607 Phone: 309-967-2228 | |
Dr. Richard L Bernard Jr., DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1522 W Garfield Ave, Bartonville, IL 61607 Phone: 309-697-2228 | |
Landall Cormier, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1522 W Garfield Ave, Bartonville, IL 61607 Phone: 309-697-2228 Fax: 309-697-8690 |