Individual
DR. VILAS SASTRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
6121 7TH AVE, KENOSHA, WI 53143-4506
(262) 654-6535
Mailing address
2828 WOODMERE CT, NORTHBROOK, IL 60062-6447
(702) 332-2337
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
019033030
IL
122300000X
Dentist
Primary
1002728
WI
122300000X
Dentist
5053
NV
Other
Enumeration date
09/14/2006
Last updated
05/02/2023
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