Divya Gade
Divya Gade is a General Practice Dentistry in Bloomington, Illinois. Licensed in Illinois. Registered with an NPI since 2021.
- Licensed in
- IL
- In the registry since
- 2021
Practice location Address checks out
1407 N Veterans Pkwy Ste 12Bloomington, IL 61704-6425
Phone: (309) 233-3922
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Dentistry (primary) | Taxonomy 1223G0001X · Licence 019033285 (IL) |
|---|
Record details
| NPI number | 1093385312 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | June 29, 2021 |
| Last updated in NPPES | July 10, 2021 |
| Certification date | July 10, 2021 |
| Mailing address | 1407 N Veterans Pkwy Ste 12, Bloomington, IL 61704-6425 |
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