Individual
BABITA MIKKILINENI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D
Contact information
Practice address
3434 W. ILLINOIS AVE, SUITE 307, DALLAS, TX 75211
(214) 339-3900
(214) 339-3908
Mailing address
430 W ERIE ST STE 500, CHICAGO, IL 60610-4032
(920) 838-1649
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
20760
TX
Other
Enumeration date
01/05/2007
Last updated
01/12/2012
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