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Organization
VINA DENTAL LTD
Active
Organization
VINA DENTAL LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NADIA ODISH DDS (GENERAL DENTIST)
(847) 692-0900
Entity
Organization
Contact information
Practice address
8118 N MILWAUKEE AVE, SUITE 100, NILES, IL 60714-2817
(847) 692-0900
(847) 692-0904
Mailing address
8118 N MILWAUKEE AVE, SUITE 100, NILES, IL 60714-2817
(847) 692-0900
(847) 692-0904
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019026568
IL
Other
Enumeration date
01/26/2010
Last updated
01/26/2010
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