| Atlas Dental Corp | |
|
7714 South Cicero Avenue Burbank IL 60459-1583 | |
| (708) 636-3368 | |
| Not Available |
| Full Name | Atlas Dental Corp |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 7714 South Cicero Avenue, Burbank, Illinois |
| Authorized Official Name and Position | Sundeep Dhawan (PRESIDENT) |
| Authorized Official Contact | 7082615208 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Atlas Dental Corp 7714 South Cicero Avenue Burbank IL 60459-1583 Ph: (708) 636-3368 | Atlas Dental Corp 7714 South Cicero Avenue Burbank IL 60459-1583 Ph: (708) 636-3368 |
| NPI Number | 1104139096 |
|---|---|
| Provider Enumeration Date | 07/20/2010 |
| Last Update Date | 12/21/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104139096 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 019028275 (Illinois) | Primary |
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