Individual
DR. MADHURI PUNATY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1120 N MAIN ST, SUITE 2, GLENDALE HEIGHTS, IL 60139
(630) 545-1500
Mailing address
1120 N MAIN ST, SUITE 2, GLENDALE HEIGHTS, IL 60139
(630) 545-1500
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9177839
DOREL
IL
Enumeration date
11/30/2005
Last updated
04/18/2008
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