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Organization
ZARASMITA DMD LLC
Active
Organization
ZARASMITA DMD LLC
Active
Other names
CRYSTAL FAMILY DENTAL CARE
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIJESH PATEL DMD (OWNER)
(630) 656-2213
Entity
Organization
Contact information
Practice address
1560 CARLEMONT DR, CRYSTAL LAKE, IL 60014-2740
(630) 656-2213
(779) 220-4972
Mailing address
1560 CARLEMONT DR, CRYSTAL LAKE, IL 60014-2740
(630) 656-2213
(779) 220-4972
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019029358
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
019029358
—
IL
Enumeration date
04/18/2016
Last updated
12/23/2019
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