Individual
DR. GEETHA D THIRUMALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1 E PHILLIP RD, VERNON HILLS, IL 60061-1858
(847) 367-6055
Mailing address
1610 LAKE CHARLES DR, VERNON HILLS, IL 60061-4582
(857) 753-0228
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
019031736
IL
1223P0221X
Pediatric Dentistry
Primary
021002872
IL
1223P0221X
Pediatric Dentistry
1001749
WI
Other
Enumeration date
07/13/2007
Last updated
05/16/2024
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