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Organization
PERIODONTAL IMPLANT SPECIALISTS
Active
Organization
PERIODONTAL IMPLANT SPECIALISTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMARIK SINGH (OWNER/DR.)
(630) 424-9404
Entity
Organization
Contact information
Practice address
17W622 BUTTERFIELD RD, SUITE 208, OAKBROOK TERRACE, IL 60181-4037
(630) 424-9404
Mailing address
17W622 BUTTERFIELD RD, SUITE 208, OAKBROOK TERRACE, IL 60181-4037
(630) 424-9404
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
021001976
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01902446
PERIODONTAL SPECIALIST
IL
Enumeration date
11/20/2008
Last updated
11/20/2008
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