Individual
RANI SEETH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
136 S BOLINGBROOK DR, BOLINGBROOK, IL 60440-2852
(630) 739-5500
(630) 739-5505
Mailing address
136 S BOLINGBROOK DR, BOLINGBROOK, IL 60440-2852
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019026866
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
917 9527
—
IL
Enumeration date
11/08/2005
Last updated
08/17/2009
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