Individual
LEELA BUDDARAJU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6430 GREEN BAY RD STE 112, KENOSHA, WI 53142-2948
(262) 653-3980
Mailing address
2494 WATERBURY LN, BUFFALO GROVE, IL 60089-6890
(224) 334-9307
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
100274915
WI
Other
Enumeration date
02/04/2022
Last updated
02/04/2022
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