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Srutha Keerthi Chebolu
General Practice Dentistry in Bloomington, Illinois
NPI 1326663873

Srutha Keerthi Chebolu is a General Practice Dentistry based in Bloomington, IL and is specialized in General Practice. Srutha Keerthi Chebolu practices in Bloomington, IL. The NPI Number for Srutha Keerthi Chebolu is 1326663873 and holds a License No. 019.032686 (Illinois).

The current practice location address for Srutha Keerthi Chebolu is 401 N Veterans Pkwy Ste 4, Bloomington, IL and can be reached out via phone at 309-808-1317.

Location: 401 N Veterans Pkwy Ste 4, Bloomington, IL, 61704-7716
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1326663873
Provider Name
Srutha Keerthi Chebolu
Credential
Provider Entity Type
Individual
Gender
Female
Address
401 N Veterans Pkwy Ste 4, Bloomington, IL, 61704-7716
Phone Number
309-808-1317
Fax Number
Provider Enumeration Date
06/10/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
401 N Veterans Pkwy Ste 4
City
Bloomington
State
Illinois
Zip
61704-7716
Phone Number
309-808-1317
Fax Number
person
Provider Business Mailing Address Details
Address
401 N Veterans Pkwy Ste 4
City
Bloomington
State
Illinois
Zip
61704-7716
Phone Number
309-808-1317
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
019.032686 (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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