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Organization
ROSELAND DENTAL CLINIC
Active
Organization
ROSELAND DENTAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMIT SAPARIA (DENTIST)
(708) 359-2068
Entity
Organization
Contact information
Practice address
134 W. 111TH ST, CHICAGO, IL 60628-4215
(708) 359-2068
Mailing address
134 W. 111TH ST, CHICAGO, IL 60628-4215
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
IL
Other
Enumeration date
04/02/2008
Last updated
04/17/2008
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