Individual
MS. NATESHA VINA KUMAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1229 W WASHINGTON BLVD, CHICAGO, IL 60607-2132
(312) 487-1787
Mailing address
PO BOX 95155, CHICAGO, IL 60694-5155
(312) 967-0103
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
4594392
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
NY
Other
Enumeration date
06/11/2020
Last updated
08/11/2022
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