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Individual
DR. SUBBASHINI MARIMUTHU
Active
Individual
DR. SUBBASHINI MARIMUTHU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019026028
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
331048209
IRS INDIVIDUAL TAX PAYER
—
Enumeration date
08/11/2006
Last updated
06/23/2016
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