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Organization
VILLAGE DENTISTRY LLC
Active
Organization
VILLAGE DENTISTRY LLC
Active
Other names
Archer Dentistry Village
Organization subpart
No
Provider details
NPI number
Authorized official
PRASANTH DOMMARAJU DMD (OWNER)
(630) 247-7216
Entity
Organization
Contact information
Practice address
2345 W CERMAK RD, CHICAGO, IL 60608-3811
(773) 579-0500
Mailing address
1S132 SUMMIT AVE STE 102, OAKBROOK TERRACE, IL 60181-3931
(630) 247-7216
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
07/25/2025
Last updated
07/25/2025
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