Individual
DR. AMRITA KAUR RAKALLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS, MS
Contact information
Practice address
1 GRANT SQ STE 101, HINSDALE, IL 60521-3383
(630) 323-1201
Mailing address
1 GRANT SQ STE 101, HINSDALE, IL 60521-3383
(630) 323-1201
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
019-029080
IL
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
021002629
IL
Other
Enumeration date
09/15/2014
Last updated
09/26/2021
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