Organization
APPLE DENTAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MADHURI D PUNATY DMD (OWNER)
(630) 545-1500
Entity
Organization
Contact information
Practice address
1120 N MAIN ST, SUITE 2, GLENDALE HEIGHTS, IL 60139
(630) 545-1500
(630) 545-1511
Mailing address
1120 N MAIN STREET, SUITE 2, GLENDALE HEIGHTS, IL 60139
(630) 545-1500
(630) 545-1511
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9177839
—
IL
Enumeration date
04/17/2008
Last updated
04/17/2008
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