Individual
AMRITA SWAMY RUIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1264A N LAKE ST, AURORA, IL 60506-2453
(405) 719-3231
Mailing address
519 WATERCRESS DR, AURORA, IL 60504-4529
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019.033872
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/27/2022
Last updated
02/21/2023
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