Organization
PEARL SHINE DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. UMAPRIYA SANNAPAREDDY DDS (DENTIST)
(224) 278-8282
Entity
Organization
Contact information
Practice address
205 S RANDALL RD, ALGONQUIN, IL 60102-9781
(224) 278-8282
(224) 278-8080
Mailing address
205 S RANDALL RD, ALGONQUIN, IL 60102-9781
(224) 278-8282
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019029433
IL
Other
Enumeration date
06/10/2016
Last updated
06/05/2024
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