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Organization
ARTDENTISTREE
Active
Organization
ARTDENTISTREE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TARANNUM MARYA DDS (OWNER)
(415) 827-5250
Entity
Organization
Contact information
Practice address
6319 FAIRVIEW AVE STE 103, WESTMONT, IL 60559-2889
(415) 827-5250
Mailing address
9 ARCADIA CT, BURR RIDGE, IL 60527-0701
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
12/19/2023
Last updated
12/19/2023
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