Individual
ANISHA CHERUVILLIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1200 UNIVERSITY AVE STE 100, DES MOINES, IA 50314-2355
(515) 248-1888
(515) 248-1890
Mailing address
1200 UNIVERSITY AVE STE 200, DES MOINES, IA 50314-2355
(515) 248-1447
(515) 248-1440
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
019.031819
IL
1223G0001X
General Practice Dentistry
Primary
DDS-09713
IA
Other
Enumeration date
08/09/2018
Last updated
11/19/2019
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