Individual
DR. AKANKSHA BAHETI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4434 W FULLERTON AVE, CHICAGO, IL 60639-1932
(229) 443-2124
Mailing address
215 W WASHINGTON ST APT 3203, CHICAGO, IL 60606-3516
(229) 443-2124
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019.034561
IL
Other
Enumeration date
08/25/2023
Last updated
08/25/2023
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