Individual
SAURABH MANNAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD, MPH
Contact information
Practice address
430 W ERIE ST STE 200, CHICAGO, IL 60654-6920
(267) 273-4096
Mailing address
430 W ERIE ST STE 200, CHICAGO, IL 60654-6920
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS038710
PA
Other
Enumeration date
04/27/2011
Last updated
07/11/2011
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