Prasad B Gonavarum, D.D.S. is a general practice dentist in Chicago, IL. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. Prasad B Gonavarum, D.D.S. NPI is 1174512339. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
2413 S STATE ST
IDEAL DENTAL CENTER
CHICAGO, IL
ZIP 60616-311
Phone: (312) 528-1800
Fax: (312) 528-1881
The enumeration date for this NPI number is 10/19/2005 and was last updated on 7/9/2007.