Individual
GUNVEEN CHAWLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
366 W ARMY TRAIL RD STE 310A, BLOOMINGDALE, IL 60108
(978) 466-6800
Mailing address
PO BOX 860036, MINNEAPOLIS, MN 55486-0036
(917) 702-9234
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DN1856963
MA
1223G0001X
General Practice Dentistry
Primary
019.031571
IL
Other
Enumeration date
06/15/2015
Last updated
08/07/2018
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