Individual
BHARAT KUNDNANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1802 PIER WAY, 204, BLOOMINGTON, IL 61704-9516
(408) 507-4175
Mailing address
1802 PIER WAY, 204, BLOOMINGTON, IL 61704-9516
(408) 507-4175
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019029517
IL
Other
Enumeration date
07/10/2013
Last updated
07/10/2013
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