Individual
SAMIDHA RAJORA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
703 B S NEIL ST, CHAMPAIGN, IL 61820
(857) 210-9497
Mailing address
703B S NEIL ST, CHAMPAIGN, IL 61820
(857) 210-9497
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019.034522
IL
Other
Enumeration date
08/08/2023
Last updated
08/08/2023
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