Individual
AMRIT KAUR BANIPAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
20 BOULDER HILL PASS, MONTGOMERY, IL 60538-1951
(630) 896-5013
Mailing address
1935 SEQUOIA DR, HANOVER PARK, IL 60133-3983
(773) 701-3074
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019032840
IL
Other
Enumeration date
07/27/2020
Last updated
03/05/2021
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