| Tooth Fixer Dental, Pc | |
|
2460 S Eola Rd Aurora IL 60503-6494 | |
| (630) 585-5600 | |
| (630) 585-5656 |
| Full Name | Tooth Fixer Dental, Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2460 S Eola Rd, Aurora, Illinois |
| Authorized Official Name and Position | Khaja Mohsinuddin (DENTIST) |
| Authorized Official Contact | 6305855600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tooth Fixer Dental, Pc 2460 S Eola Rd Aurora IL 60503-6494 Ph: (630) 585-5600 | Tooth Fixer Dental, Pc 2460 S Eola Rd Aurora IL 60503-6494 Ph: (630) 585-5600 |
| NPI Number | 1548559024 |
|---|---|
| Provider Enumeration Date | 04/05/2011 |
| Last Update Date | 04/05/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548559024 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 019025208 (Illinois) | Primary |
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