| Alaleh Dowlatshahi Dds,ms,pc | |
|
3745 N Clark St Chicago IL 60613-4780 | |
| (773) 248-0300 | |
| Not Available |
| Full Name | Alaleh Dowlatshahi Dds,ms,pc |
|---|---|
| Speciality | Dentist |
| Location | 3745 N Clark St, Chicago, Illinois |
| Authorized Official Name and Position | Alaleh Dowlatshahi (DENTIST) |
| Authorized Official Contact | 7732480300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Alaleh Dowlatshahi Dds,ms,pc 3745 N Clark St Chicago IL 60613-4780 Ph: (773) 248-0300 | Alaleh Dowlatshahi Dds,ms,pc 3745 N Clark St Chicago IL 60613-4780 Ph: (773) 248-0300 |
| NPI Number | 1023408374 |
|---|---|
| Provider Enumeration Date | 01/26/2015 |
| Last Update Date | 01/26/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023408374 | NPI | - | NPPES |
| 1932349248 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 19027868 (Illinois) | Primary |
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