Organization
CHICAGO DENTAL BOUTIQUES
Active
Other names
Chicago Dental Boutique
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROHI ATASSI DDS (DENTIST)
(312) 868-0301
Entity
Organization
Contact information
Practice address
333 E BENTON PL STE 202, CHICAGO, IL 60601-7411
(312) 868-0301
Mailing address
333 E BENTON PL STE 202, CHICAGO, IL 60601-7411
(312) 868-0301
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019030540
IL
Other
Enumeration date
10/05/2017
Last updated
10/05/2017
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