Dr. Anshuman Soni, DDS
Dentist, General Practice in Libertyville, IL. Individual provider (NPI-1).
NPI number1265415244
StatusActive
Last updated in NPPESOct 6, 2015
Details
- NPI
- 1265415244
- Entity type
- Individual (NPI-1)
- Name
- Dr. Anshuman Soni
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Nov 23, 2005
- Last updated
- Oct 6, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 019026289 | IL | Yes |
Practice location
1418 S Milwaukee AveSuite # 4
Libertyville, IL 60048
Phone 847-984-2548 · Fax 847-984-2957
Mailing address
1418 S Milwaukee AveSuite # 4
Libertyville, IL 60048
Phone 847-984-2548 · Fax 847-984-2957
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