Individual
DR. SETHURAMA MUTHURAMASWAMI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4209.ST. CHARLES ROAD, BELLWOOD, IL 60104
(708) 547-1100
Mailing address
4209.ST. CHARLES ROAD, BELLWOOD, IL 60104
(708) 547-1100
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1003092
—
IL
Enumeration date
11/07/2006
Last updated
03/19/2008
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