Individual
LAKSHMI RAMESH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2103 E WASHINGTON ST STE 4B, BLOOMINGTON, IL 61701-4362
(309) 664-7645
(309) 664-7647
Mailing address
2103 E WASHINGTON ST STE 4B, BLOOMINGTON, IL 61701-4362
(309) 664-7645
(309) 664-7647
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
IL
Other
Enumeration date
12/19/2006
Last updated
02/26/2008
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