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Organization

TOOTH FIXER DENTAL, PC

Active
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Organization

TOOTH FIXER DENTAL, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KHAJA MOHSINUDDIN D.D.S. (DENTIST)
(630) 585-5600
Entity
Organization

Contact information

Practice address
2460 S EOLA RD, AURORA, IL 60503-6494
(630) 585-5600
(630) 585-5656
Mailing address
2460 S EOLA RD, AURORA, IL 60503-6494
(630) 585-5600
(630) 585-5656

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019025208
IL

Other

Enumeration date
04/05/2011
Last updated
04/05/2011
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