Palos Heights Dental Group, P.c.

NPI 1275945594 - Dentist - 122300000X

NPI Details
NPI 1275945594
Enumeration Date 05/21/2014
Last Updated 05/21/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name ROSHAN P ROSHAN
Position PRESIDENT/OWNER
Phone (708) 425-7474
Fax
Practice Location
12130 S HARLEM AVE
PALOS HEIGHTS IL, 60463-1458, US
Phone (708) 425-7474
Fax
Business Location
12130 S HARLEM AVE
PALOS HEIGHTS IL, 60463-1458, US
Phone
Fax
Toxanomy
Taxonomy Code 122300000X
License State Illinois
License Number 019027739
Remove 1275945594 NPI Number
 

According to our database, Palos Heights Dental Group, P.c. NPI is 1275945594, taxonomy code is 122300000X and license number is 019027739, license state is located at Illinois. Palos Heights Dental Group, P.c. physically located at 12130 S Harlem Ave, Palos Heights IL, 60463-1458. NPI Number 1033115704 has the healthcare provider type.

Sponsored links

1275945594 NPI number is provided on an as is basis without warranty of any kind. 1275945594 is maintained by the National Plan & Provider Enumeration System. The contents of Palos Heights Dental Group, P.c. are for informational purposes only.