Organization
EUCLID ADVANCED DENTISTRY, P.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SABA KHAN (PRESIDENT)
(847) 368-0200
Entity
Organization
Contact information
Practice address
409 E EUCLID AVE STE B, MOUNT PROSPECT, IL 60056-1214
(847) 368-0200
Mailing address
409 E EUCLID AVE STE B, MOUNT PROSPECT, IL 60056-1214
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019027311
IL
1223P0300X
Periodontics
021002216
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
195558
—
IL
Enumeration date
02/13/2009
Last updated
02/13/2009
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