Individual
DR. RAHUL VED PRAKASH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
964 BROOK FOREST AVE, TROY DENTAL, SHOREWOOD, IL 60404-8807
(515) 664-5357
Mailing address
964 BROOK FOREST AVE, TROY DENTAL, SHOREWOOD, IL 60404-8807
(515) 664-5357
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019028741
IL
122300000X
Dentist
58773
CA
Other
Enumeration date
08/27/2009
Last updated
08/06/2013
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