Individual
MEGHANA PRABHA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
2568 WATERBURY LN, BUFFALO GROVE, IL 60089-6891
(847) 222-3760
Mailing address
2568 WATERBURY LN, BUFFALO GROVE, IL 60089-6891
(847) 222-3760
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019030895
IL
Other
Enumeration date
08/23/2016
Last updated
08/23/2016
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