Prakash K. Upadhyaya Dds Ltd. | |
2400 W Roosevelt Rd Suite #1 Broadview IL 60155-3880 | |
(708) 865-2400 | |
Not Available |
Full Name | Prakash K. Upadhyaya Dds Ltd. |
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Speciality | Dentist |
Location | 2400 W Roosevelt Rd, Broadview, Illinois |
Authorized Official Name and Position | Prakash K Upadhyaya (GENERAL DENTIST) |
Authorized Official Contact | 7088652400 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Prakash K. Upadhyaya Dds Ltd. 2400 W Roosevelt Rd Suite #1 Broadview IL 60155-3880 Ph: (708) 865-2400 | Prakash K. Upadhyaya Dds Ltd. 2400 W Roosevelt Rd Suite #1 Broadview IL 60155-3880 Ph: (708) 865-2400 |
NPI Number | 1003236555 |
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Provider Enumeration Date | 04/23/2014 |
Last Update Date | 04/23/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1003236555 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 019015678 (Illinois) | Primary |
Ami Dental,n.nathwani.d.d.s.ltd. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1410 W Roosevelt Rd, Broadview, IL 60155 Phone: 708-345-0120 | |
Just Smiles Ltd Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2133 S 17th Ave, Broadview, IL 60155 Phone: 708-865-0200 Fax: 708-865-1730 |