Individual
DR. SASEELAN SIVAGNANAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BDS
Contact information
Practice address
7318 ARGUS DR, ROCKFORD, IL 61107
(815) 207-8759
Mailing address
1119 LOGANBURY COURT, ELGIN, IL 60120
(310) 866-2230
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019028836
IL
Other
Enumeration date
09/26/2011
Last updated
03/17/2016
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