Atosa Sarrafi,dmd,pc

NPI 1083889372 - Dentist - 122300000X

NPI Details
NPI 1083889372
Enumeration Date 04/28/2008
Last Updated 04/28/2008
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name ATOSA ATOSA
Position DENTIST/OWNER
Phone (617) 388-4349
Fax
Practice Location
259 E RAND RD
SUITE 107
MT PROSPECT IL, 60056-2184, US
Phone (617) 388-4349
Fax
Business Location
260 E CHESTNUT ST
UNIT 3405
CHICAGO IL, 60611-2401, US
Phone (617) 388-4349
Fax
Toxanomy
Taxonomy Code 122300000X
License State Illinois
License Number 019026946
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According to our database, Atosa Sarrafi,dmd,pc NPI is 1083889372, taxonomy code is 122300000X and license number is 019026946, license state is located at Illinois. Atosa Sarrafi,dmd,pc physically located at 259 E Rand Rd, Mt Prospect IL, 60056-2184. NPI Number 1033115704 has the healthcare provider type.

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1083889372 NPI number is provided on an as is basis without warranty of any kind. 1083889372 is maintained by the National Plan & Provider Enumeration System. The contents of Atosa Sarrafi,dmd,pc are for informational purposes only.