Individual
SRUTHI ANNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
804 S GREEN RIVER RD STE A, EVANSVILLE, IN 47715-4106
(888) 988-4066
(847) 496-4850
Mailing address
2050 E ALGONQUIN RD STE 610, SCHAUMBURG, IL 60173-4166
(888) 988-4066
(847) 496-4850
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12012775A
IN
Other
Enumeration date
07/12/2017
Last updated
07/12/2017
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