Individual
KINNARI DILIP KARIYA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
712 E 87TH ST, CHICAGO, IL 60619-6246
(773) 783-9000
Mailing address
3301 MONCUCCO WAY, SAN JOSE, CA 95148-4351
(424) 371-0142
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019.032949
IL
Other
Enumeration date
11/17/2020
Last updated
11/17/2020
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