| Hut Dental Associates | |
|
120 Oak Brook Center Mall Suite 625 Oak Brook IL 60523-1806 | |
| (630) 572-9696 | |
| (630) 572-9743 |
| Full Name | Hut Dental Associates |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 120 Oak Brook Center Mall, Oak Brook, Illinois |
| Authorized Official Name and Position | Morris Hutabarat (PRESIDENT) |
| Authorized Official Contact | 6305729696 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hut Dental Associates Po Box 5004 Oak Brook IL 60522-5004 Ph: (630) 572-9696 | Hut Dental Associates 120 Oak Brook Center Mall Suite 625 Oak Brook IL 60523-1806 Ph: (630) 572-9696 |
| NPI Number | 1457503245 |
|---|---|
| Provider Enumeration Date | 10/13/2008 |
| Last Update Date | 10/13/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457503245 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 060-005394 (Illinois) | Primary |
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