| Meda Dental,p.c. | |
|
2801 Ogden Ave Ste 4 Lisle IL 60532-1993 | |
| (630) 416-8080 | |
| (630) 416-8141 |
| Full Name | Meda Dental,p.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2801 Ogden Ave Ste 4, Lisle, Illinois |
| Authorized Official Name and Position | Sathya Meda Naga (OWNER) |
| Authorized Official Contact | 6304168080 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Meda Dental,p.c. 2801 Ogden Ave Ste 4 Lisle IL 60532-1993 Ph: (630) 416-8080 | Meda Dental,p.c. 2801 Ogden Ave Ste 4 Lisle IL 60532-1993 Ph: (630) 416-8080 |
| NPI Number | 1053542472 |
|---|---|
| Provider Enumeration Date | 08/03/2009 |
| Last Update Date | 08/03/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053542472 | NPI | - | NPPES |
| 9200349 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 019027401 (Illinois) | Primary |
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