KRISHNA GORANTLA, DDS
Dentist - General Practice
Active
Individual
NPI: 1336521004
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dentist - General Practice | 1223G0001X | Yes | 019030203 (IL) |
Frequently Asked Questions
NPI 1336521004 is the National Provider Identifier for KRISHNA GORANTLA, DDS, a Dentist - General Practice provider located in Flora, IL. This NPI was enumerated on June 18, 2015.
KRISHNA GORANTLA, DDS practices at 501 N MAIN ST, Flora, IL 62839.
Quick Facts
- NPI
- 1336521004
- Type
- Individual
- Enumerated
- Jun 18, 2015
- Last Updated
- Jun 18, 2015
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