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Organization
SATISH K GOTTUMUKKULA DMD LTD
Active
Organization
SATISH K GOTTUMUKKULA DMD LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMANTHA KOTHAPALLI DMD (ASSOCIATE)
(630) 803-6431
Entity
Organization
Contact information
Practice address
1940 W GALENA BLVD, STE #8, AURORA, IL 60506-4319
(630) 892-2193
(630) 892-3563
Mailing address
1940 W GALENA BLVD, STE #8, AURORA, IL 60506-4319
(630) 892-2193
(630) 892-3563
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019026612
IL
Other
Enumeration date
11/05/2010
Last updated
11/05/2010
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