Atassi Advanced Dental Care

NPI 1164758058 - Dentist - 1223G0001X

NPI Details
NPI 1164758058
Enumeration Date 10/27/2009
Last Updated 10/27/2009
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name BANA BANA
Position OWNER
Phone (630) 769-9940
Fax
Practice Location
801 PLAINFIELD RD
DARIEN IL, 60561-4286, US
Phone (630) 769-9940
Fax
Business Location
801 PLAINFIELD RD
DARIEN IL, 60561-4286, US
Phone
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State Illinois
License Number 019-026463
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According to our database, Atassi Advanced Dental Care NPI is 1164758058, taxonomy code is 1223G0001X and license number is 019-026463, license state is located at Illinois. Atassi Advanced Dental Care physically located at 801 Plainfield Rd, Darien IL, 60561-4286. NPI Number 1033115704 has the healthcare provider type.

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1164758058 NPI number is provided on an as is basis without warranty of any kind. 1164758058 is maintained by the National Plan & Provider Enumeration System. The contents of Atassi Advanced Dental Care are for informational purposes only.