Individual
MRS. RAMYA SHETTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1264 N LAKE ST, AURORA, IL 60506-2453
(312) 274-0308
Mailing address
430 W ERIE ST STE 200, CHICAGO, IL 60654-6920
(920) 838-1649
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
NA
IL
Other
Enumeration date
06/14/2011
Last updated
06/14/2011
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