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Divya Gade
General Practice Dentistry in Bloomington, Illinois
NPI 1093385312

Divya Gade is a General Practice Dentistry based in Bloomington, IL and is specialized in General Practice. Divya Gade practices in Bloomington, IL. The NPI Number for Divya Gade is 1093385312 and holds a License No. 019033285 (Illinois).

The current practice location address for Divya Gade is 1407 N Veterans Pkwy Ste 12, Bloomington, IL and can be reached out via phone at 309-233-3922.

Location: 1407 N Veterans Pkwy Ste 12, Bloomington, IL, 61704-6425
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1093385312
Provider Name
Divya Gade
Credential
Provider Entity Type
Individual
Gender
Female
Address
1407 N Veterans Pkwy Ste 12, Bloomington, IL, 61704-6425
Phone Number
309-233-3922
Fax Number
Provider Enumeration Date
06/29/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1407 N Veterans Pkwy Ste 12
City
Bloomington
State
Illinois
Zip
61704-6425
Phone Number
309-233-3922
Fax Number
person
Provider Business Mailing Address Details
Address
1407 N Veterans Pkwy Ste 12
City
Bloomington
State
Illinois
Zip
61704-6425
Phone Number
309-233-3922
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
019033285 (Illinois)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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