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Organization
ADVANCED PERIODONTICS AND IMPLANTS, LTD
Active
Organization
ADVANCED PERIODONTICS AND IMPLANTS, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NIKISHA NANDINI JODHAN DDS (PERIODONTIST/ PRESIDENT)
(847) 512-7410
Entity
Organization
Contact information
Practice address
900 CHICAGO AVE, UNIT 702, EVANSTON, IL 60202-1872
(312) 854-0806
Mailing address
500 DAVIS ST STE 104, EVANSTON, IL 60201-4600
(847) 512-7410
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
04/23/2010
Last updated
04/23/2010
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