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Organization
TITAN DENTAL PC
Active
Organization
TITAN DENTAL PC
Active
Other names
TruBlu Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ABHISHEK NAGARAJ DDS (OWNER)
(312) 384-9493
Entity
Organization
Contact information
Practice address
13247 S BALTIMORE AVE, CHICAGO, IL 60633-1431
(773) 646-4664
Mailing address
950 N CLARK ST UNIT I, CHICAGO, IL 60610-8702
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019029975
IL
Other
Enumeration date
08/21/2017
Last updated
08/21/2017
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