Individual
JANAKI VIMLESH SHUKLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
126 UNION ST, MARLBOROUGH, MA 01752-1207
(508) 481-4200
Mailing address
70 W BURTON PL, APT. 2007, CHICAGO, IL 60610-1444
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019030550
IL
1223G0001X
General Practice Dentistry
DN1856398
MA
Other
Enumeration date
07/25/2012
Last updated
02/10/2016
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