Individual
APARNA SRINIVASA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2563 SYCAMORE RD, DEKALB, IL 60115-2051
(815) 748-2666
(815) 748-3981
Mailing address
2563 SYCAMORE RD, DEKALB, IL 60115-2051
(815) 748-2666
(815) 748-3981
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019.028604
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
019.028604
LICENSE
IL
Enumeration date
06/27/2011
Last updated
06/27/2011
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