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Organization

PARDESI DENTAL LLC

Active
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Organization

PARDESI DENTAL LLC

Active
Other names
Old Town Dental Associates
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ZAID PARDESI (MANAGING DIRECTOR)
(847) 312-8721
Entity
Organization

Contact information

Practice address
526 DIXIE HWY, BEECHER, IL 60401-3698
(708) 946-9494
Mailing address
1250 S MICHIGAN AVE, APT 2505, CHICAGO, IL 60605-2548
(847) 312-8721

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019.030152
IL

Other

Enumeration date
09/26/2016
Last updated
09/26/2016
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