University Dental Associates

NPI 1467688614 - Dentist - 1223G0001X

NPI Details
NPI 1467688614
Enumeration Date 06/02/2009
Last Updated 06/02/2009
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name RAJAN RAJAN
Position OWNER
Phone (708) 991-1218
Fax
Practice Location
18213 DIXIE HWY
HOMEWOOD IL, 60430-2205, US
Phone (708) 991-1218
Fax
Business Location
18213 DIXIE HWY
HOMEWOOD IL, 60430-2205, US
Phone
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State Illinois
License Number 019-021911
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According to our database, University Dental Associates NPI is 1467688614, taxonomy code is 1223G0001X and license number is 019-021911, license state is located at Illinois. University Dental Associates physically located at 18213 Dixie Hwy, Homewood IL, 60430-2205. NPI Number 1033115704 has the healthcare provider type.

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1467688614 NPI number is provided on an as is basis without warranty of any kind. 1467688614 is maintained by the National Plan & Provider Enumeration System. The contents of University Dental Associates are for informational purposes only.