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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KANDIMALLA DENTAL PLLC

Active Organization

KANDIMALLA DENTAL PLLC is a General Dentistry organization located in BOLINGBROOK, Illinois. NPI 1558994392 is currently active in the NPPES registry. Verify at CMS.

General Dentistry · BOLINGBROOK, IL

Registration Details

NPI Number
1558994392
Provider Type
Organization
NPI Issued
Feb 20, 2020 (6.3367416229216 yrs)
Last Updated
Jun 21, 2022

Practice Information

Address
772 S WEBER RD
BOLINGBROOK, IL, 604905472
Browse IL providers · Browse ZIP 60490
Phone
6305182272
Fax
6302434778
Primary Specialty
General Dentistry
1223G0001X
Additional Specialty
General Dentistry
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.