Organization
AFFINITY DENTAL PEKIN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SRINIVAS DURSHANAPALLI DDS (PRESIDENT)
(203) 215-4687
Entity
Organization
Contact information
Practice address
135 RADIO CITY DR STE A, PEKIN, IL 61554-1568
(309) 217-7777
(309) 650-1777
Mailing address
135 RADIO CITY DR STE A, PEKIN, IL 61554-1568
(309) 217-7777
(309) 650-1777
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
06/19/2023
Last updated
06/19/2023
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