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Organization
ROHANISH ENTERPRISES INC
Active
Organization
ROHANISH ENTERPRISES INC
Active
Other names
Stratford square periodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUZER CHINWALLA DDS, MSD (PRESIDENT)
(630) 582-3120
Entity
Organization
Contact information
Practice address
1 TIFFANY PT STE 205, BLOOMINGDALE, IL 60108-2916
(630) 582-3120
(630) 582-3137
Mailing address
1 TIFFANY PT STE 205, BLOOMINGDALE, IL 60108-2916
(630) 582-3120
(630) 582-3137
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
019023850
IL
Other
Enumeration date
08/03/2011
Last updated
08/03/2011
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