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Organization
PSP DENTAL SERVICES PC
Active
Organization
PSP DENTAL SERVICES PC
Active
Other names
Roots Dental Studio
Organization subpart
No
Provider details
NPI number
Authorized official
PARAJ PATEL DMD (PRESIDENT)
(201) 303-8996
Entity
Organization
Contact information
Practice address
5425 W 95TH ST, OAK LAWN, IL 60453-2354
(708) 636-0565
(708) 636-0566
Mailing address
5425 W 95TH ST, OAK LAWN, IL 60453-2354
(708) 636-0565
(708) 636-0566
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
IL
Other
Enumeration date
04/23/2018
Last updated
01/08/2025
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