Organization
ATOSA SARRAFI,DMD,PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ATOSA SARRAFI D.M.D (DENTIST/OWNER)
(617) 388-4349
Entity
Organization
Contact information
Practice address
259 E RAND RD, SUITE 107, MT PROSPECT, IL 60056-2184
(617) 388-4349
Mailing address
260 E CHESTNUT ST, UNIT 3405, CHICAGO, IL 60611-2401
(617) 388-4349
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019026946
IL
Other
Enumeration date
04/28/2008
Last updated
04/28/2008
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