| Dental 360 Pulaski 67 Llc | |
|
6301 Cermak Rd Ste B Berwyn IL 60402-2368 | |
| (708) 956-7516 | |
| (708) 956-7516 |
| Full Name | Dental 360 Pulaski 67 Llc |
|---|---|
| Speciality | Dentist |
| Location | 6301 Cermak Rd Ste B, Berwyn, Illinois |
| Authorized Official Name and Position | Mohammed Parvez (OWNER) |
| Authorized Official Contact | 6302941770 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental 360 Pulaski 67 Llc 6301 Cermak Rd Ste B Berwyn IL 60402-2368 Ph: (708) 956-7516 | Dental 360 Pulaski 67 Llc 6301 Cermak Rd Ste B Berwyn IL 60402-2368 Ph: (708) 956-7516 |
| NPI Number | 1508695867 |
|---|---|
| Provider Enumeration Date | 07/26/2024 |
| Last Update Date | 07/26/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508695867 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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