Vijaya Laxmi Cheethirala DMD

NPI 1023393865 - Dentist - 1223G0001X

NPI Details
NPI 1023393865
Gender Female
Enumeration Date 10/12/2011
Last Updated 10/12/2011
Entity Type Individual
Active Over 5 years ago
Practice Location
2537 W NORTH AVE
MELROSE PARK IL, 60160, US
Phone (920) 838-1649
Fax
Business Location
430 W ERIE ST
STE 200
CHICAGO IL, 60654-6914, US
Phone
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State Illinois
License Number 019028780
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According to our database, Vijaya Laxmi Cheethirala DMD NPI is 1023393865, taxonomy code is 1223G0001X and license number is 019028780, license state is located at Illinois. Vijaya Laxmi Cheethirala DMD physically located at 2537 W North Ave, Melrose Park IL, 60160. NPI Number Vijaya Laxmi Cheethirala DMD has the Individual type.

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1023393865 NPI number is provided on an as is basis without warranty of any kind. 1023393865 is maintained by the National Plan & Provider Enumeration System. The contents of Vijaya Laxmi Cheethirala DMD are for informational purposes only.