Individual
DR. JULIA KISHANIE PERSAUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
607 S 4TH ST STE B, CHILLICOTHE, IL 61523-2277
(309) 274-6237
Mailing address
31 KINGSLEY RD, HUNTINGTON, NY 11743-6428
(516) 413-8873
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019.035015
IL
Other
Enumeration date
05/29/2024
Last updated
05/29/2024
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