Individual
DR. BHAWNA PRASAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
5911 NORTHWEST HWY., STE. 104 WINDSOR DENTAL, P.C., CRYSTAL LAKE, IL 60014
(815) 479-0944
(815) 479-5271
Mailing address
5911 NORTHWEST HWY., STE. 104 WINDSOR DENTAL, P.C., CRYSTAL LAKE, IL 60014
(815) 479-0944
(815) 479-5271
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019026129
IL
Other
Enumeration date
10/21/2008
Last updated
10/21/2008
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