Individual
DR. KALPANA NAGADEEPTHI KANDIMALLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
772 S WEBER RD, BOLINGBROOK, IL 60490-5472
(630) 518-2272
(630) 243-4778
Mailing address
772 S WEBER RD, BOLINGBROOK, IL 60490-5472
(630) 518-2272
(630) 243-4778
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019027242
IL
Other
Enumeration date
07/25/2007
Last updated
01/02/2020
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