Sandeep Thota
Sandeep Thota is a Dentist in Bloomington, Illinois. Licensed in Indiana. Registered with an NPI since 2015.
- Licensed in
- IN
- In the registry since
- 2015
Practice location Address checks out
1407 N Veterans PkwyBloomington, IL 61704-6630
Phone: (314) 651-6550
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dentist (primary) | Taxonomy 122300000X · Licence 12012339A (IN) |
|---|
Record details
| NPI number | 1467835223 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | June 29, 2015 |
| Last updated in NPPES | June 29, 2015 |
| Mailing address | 1407 N Veterans Pkwy, Bloomington, IL 61704-6630 |
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