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Organization
PRIYATIRUMALASETTY, DDS PC
Active
Organization
PRIYATIRUMALASETTY, DDS PC
Active
Other names
Priya Setty, DDS PC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PRIYA TIRUMALASETTY DDS (DENTIST/OWNER)
(312) 880-1400
Entity
Organization
Contact information
Practice address
223 W JACKSON BLVD STE 1106, CHICAGO, IL 60606-6900
(312) 880-1400
(312) 880-1401
Mailing address
223 W JACKSON BLVD STE 1106, CHICAGO, IL 60606-6900
(312) 880-1400
(312) 880-1401
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
019-026732
IL
1223G0001X
General Practice Dentistry
Primary
019-024863
IL
124Q00000X
Dental Hygienist
020012084
IL
Other
Enumeration date
03/25/2010
Last updated
03/25/2010
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