Individual
DR. KAANTI GOWRU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
9111 W 151ST ST, ORLAND PARK, IL 60462-3202
(408) 440-6440
Mailing address
9111 W 151ST ST, ORLAND PARK, IL 60462-3202
(708) 590-4422
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
2951000878
MI
1223P0221X
Pediatric Dentistry
Primary
021.003316
IL
Other
Enumeration date
05/20/2022
Last updated
09/16/2025
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