Individual
MANISHA VIRDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
850 36TH AVE, MOLINE, IL 61265-7169
(309) 764-7631
(309) 764-7635
Mailing address
850 36TH AVE, MOLINE, IL 61265-7169
(309) 764-7631
(309) 764-7635
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019-030730
IL
Other
Enumeration date
06/22/2016
Last updated
11/30/2022
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