Budi Kusnoto, DDS, MS
Budi Kusnoto, DDS, MS is a Dentist in Chicago, Illinois. Practices as a sole proprietor. Licensed in Illinois.
- Licensed in
- IL
- In the registry since
- 2006
- Specialties on file
- 2
What do these letters mean?
Practice location Address checks out
842 W 31st StChicago, IL 60608
Phone: (312) 804-8304
Fax: (312) 873-3803
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Orthodontics and Dentofacial Orthopedics Dentistry (primary) | Taxonomy 1223X0400X · Licence 021002161 (IL) |
|---|---|
| Dentist | Taxonomy 122300000X · Licence 019022824 (IL) |
Record details
| NPI number | 1447349618 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | DDS , MS |
| Sole proprietor | Yes |
| NPI enumerated | October 12, 2006 |
| Last updated in NPPES | January 28, 2014 |
| Mailing address | 47 W Polk St, Suite 251, Chicago, IL 60605-2000 |
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