Individual
INDU KOSURI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3867 UNION DEPOSIT RD, HARRISBURG, PA 17109-5920
(717) 558-0042
Mailing address
350 N CLARK ST FL 6, DENTAL DREAMS LLC, CHICAGO, IL 60654-4712
(312) 274-4520
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS040247
PA
Other
Enumeration date
12/02/2014
Last updated
01/23/2015
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