Uday Balkrishna Phatak DDS

NPI 1316165160 - Dentist - 122300000X

NPI Details
NPI 1316165160
Gender Male
Enumeration Date 04/24/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
642 N MILWAUKEE AVE STE A
PROSPECT HEIGHTS IL, 60070-2353, US
Phone (847) 541-0008
Fax (847) 541-0009
Business Location
642 N MILWAUKEE AVE STE A
PROSPECT HEIGHTS IL, 60070-2353, US
Phone (847) 541-0008
Fax (847) 541-0009
Toxanomy
Taxonomy Code 122300000X
License State Illinois
License Number 019018029
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According to our database, Dr. Uday Balkrishna Phatak DDS NPI is 1316165160, taxonomy code is 122300000X and license number is 019018029, license state is located at Illinois. Uday Balkrishna Phatak DDS physically located at 642 N Milwaukee Ave Ste A, Prospect Heights IL, 60070-2353. NPI Number Uday Balkrishna Phatak DDS has the Individual type.

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1316165160 NPI number is provided on an as is basis without warranty of any kind. 1316165160 is maintained by the National Plan & Provider Enumeration System. The contents of Uday Balkrishna Phatak DDS are for informational purposes only.