Individual
DR. KAJOL KANSARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1639 S CICERO AVE, CICERO, IL 60804-1520
(708) 477-6717
Mailing address
671 HEATHER LN, BARTLETT, IL 60103-5801
(248) 943-8127
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019.032962
IL
Other
Enumeration date
01/06/2021
Last updated
01/07/2021
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