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Organization
U.S. DENTAL GROUP LLC
Active
Organization
U.S. DENTAL GROUP LLC
Active
Other names
Dental Vue
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VICKEN ISHKHANIAN (MANAGER)
(184) 741-4357
Entity
Organization
Contact information
Practice address
1447 LEE ST, DES PLAINES, IL 60018-1516
(847) 294-0404
Mailing address
1447 LEE ST, DES PLAINES, IL 60018-1516
(847) 294-0404
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1004451
—
IL
Enumeration date
09/30/2022
Last updated
09/30/2022
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