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Organization
SHUBA BINDRA DDS PC
Active
Organization
SHUBA BINDRA DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHUBA SADAGOPAN BINDRA DDS (CEO)
(312) 672-2235
Entity
Organization
Contact information
Practice address
1250 S MICHIGAN AVE, CHICAGO, IL 60605-2548
(312) 672-2235
Mailing address
1250 S MICHIGAN AVE, CHICAGO, IL 60605-2548
(312) 672-2235
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019.028039
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9028039
—
IL
Enumeration date
06/29/2011
Last updated
06/29/2011
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