Srutha Keerthi Chebolu
Srutha Keerthi Chebolu is a General Practice Dentistry in Bloomington, Illinois. Licensed in Illinois. Registered with an NPI since 2020.
- Licensed in
- IL
- In the registry since
- 2020
Practice location Address checks out
401 N Veterans Pkwy Ste 4Bloomington, IL 61704-7716
Phone: (309) 808-1317
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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 019.032686 (IL) |
|---|
Record details
| NPI number | 1326663873 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | June 10, 2020 |
| Last updated in NPPES | June 10, 2020 |
| Certification date | June 10, 2020 |
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