| Euclid Advanced Dentistry, P.c | |
|
409 E Euclid Ave Ste B Mount Prospect IL 60056-1214 | |
| (847) 368-0200 | |
| Not Available |
| Full Name | Euclid Advanced Dentistry, P.c |
|---|---|
| Speciality | Dentist |
| Location | 409 E Euclid Ave Ste B, Mount Prospect, Illinois |
| Authorized Official Name and Position | Saba Khan (PRESIDENT) |
| Authorized Official Contact | 8473680200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Euclid Advanced Dentistry, P.c 409 E Euclid Ave Ste B Mount Prospect IL 60056-1214 Ph: () - | Euclid Advanced Dentistry, P.c 409 E Euclid Ave Ste B Mount Prospect IL 60056-1214 Ph: (847) 368-0200 |
| NPI Number | 1093954091 |
|---|---|
| Provider Enumeration Date | 02/13/2009 |
| Last Update Date | 02/13/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093954091 | NPI | - | NPPES |
| 195558 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 019027311 (Illinois) | Primary |
| 1223P0300X | Dentist - Periodontics | 021002216 (Illinois) | Secondary |
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