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Contact Information

LOKESH KUMAR DAMODARAN, DDS
2937 IL 178
NORTH UTICA, IL61373
 Phone: 815-993-3101
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dental Public Health

1223D0001X
Indicates primary specialty

NPI Profile & details for LOKESH KUMAR DAMODARAN · (Male)

NPI Number 1659800316
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 06/07/2017
Last updated 06/07/2017 - About 9 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 019031083
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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