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346 E North Ave Lombard IL 60148-1303 | |
(630) 426-1300 | |
Not Available |
Full Name | |
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Speciality | Dentist - General Practice |
Location | 346 E North Ave, Lombard, Illinois |
Authorized Official Name and Position | Mohit Patalia (PRESIDENT) |
Authorized Official Contact | 6304261300 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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346 E North Ave Lombard IL 60148-1303 Ph: () - | 346 E North Ave Lombard IL 60148-1303 Ph: (630) 426-1300 |
NPI Number | 1659619179 |
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Provider Enumeration Date | 01/17/2013 |
Last Update Date | 02/22/2013 |
Identifier | Type | State | Issuer |
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1659619179 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | 019027554 (Illinois) | Primary |
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