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Organization
S B NAIK DDS LTD
Active
Organization
S B NAIK DDS LTD
Active
Other names
S B Naik DDS Ltd
Organization subpart
No
Provider details
NPI number
Authorized official
DR. S B NAIK DDS (GENERAL DENTIST PRESIDENT)
(815) 452-2513
Entity
Organization
Contact information
Practice address
203 E SANTA FE, BOX 674, TOLUCA, IL 61369
(815) 452-2513
(815) 452-2585
Mailing address
203 E SANTA FE, BOX 674, TOLUCA, IL 61369
(815) 452-2513
(815) 452-2585
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019016212
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1003096
—
IL
Enumeration date
01/25/2007
Last updated
05/31/2012
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