person
Dr. Prasanth Dommaraju, DMD
General Practice Dentistry in Chicago, Illinois
NPI 1497317515

Prasanth Dommaraju is a General Practice Dentistry based in Chicago, IL and is specialized in General Practice. Prasanth Dommaraju practices in Chicago, IL and has the professional credentials of DMD. The NPI Number for Prasanth Dommaraju is 1497317515 and holds a License No. 019032098 (Illinois).

The current practice location address for Prasanth Dommaraju is 3924 S Archer Ave, Chicago, IL and can be reached out via phone at 773-819-7101.

Location: 3924 S Archer Ave, Chicago, IL, 60632-1116
person
Provider Profile Details
NPI Number
1497317515
Provider Name
Prasanth Dommaraju
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
3924 S Archer Ave, Chicago, IL, 60632-1116
Phone Number
773-819-7101
Fax Number
Provider Enumeration Date
06/29/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3924 S Archer Ave
City
State
Zip
60632-1116
Phone Number
773-819-7101
Fax Number
person
Provider Business Mailing Address Details
Address
3924 S Archer Ave
City
State
Zip
60632-1116
Phone Number
773-819-7101
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
License No.
019032098 (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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