Periodontics & Dental Implant Center Ltd

NPI 1275874182 - Dentist - 1223P0300X

NPI Details
NPI 1275874182
Enumeration Date 03/04/2013
Last Updated 03/04/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name AMJOD AMJOD
Position PRESIDENT
Phone (773) 847-9004
Fax (773) 847-9008
Practice Location
1900 W 47TH ST
CHICAGO IL, 60609-3833, US
Phone (773) 847-9004
Fax (773) 847-9008
Business Location
1900 W 47TH ST
CHICAGO IL, 60609-3833, US
Phone (773) 847-9004
Fax (773) 847-9008
Toxanomy
Taxonomy Code 1223P0300X
License State Illinois
License Number 019028531
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According to our database, Periodontics & Dental Implant Center Ltd NPI is 1275874182, taxonomy code is 1223P0300X and license number is 019028531, license state is located at Illinois. Periodontics & Dental Implant Center Ltd physically located at 1900 W 47th St, Chicago IL, 60609-3833. NPI Number 1033115704 has the healthcare provider type.

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1275874182 NPI number is provided on an as is basis without warranty of any kind. 1275874182 is maintained by the National Plan & Provider Enumeration System. The contents of Periodontics & Dental Implant Center Ltd are for informational purposes only.