Organization
ORTHODONTIC CARE CENTER
Active
Organization
ORTHODONTIC CARE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANUJA KOTHARI D.D.S., M.S. (ORTHODONTIST)
(630) 420-4145
Entity
Organization
Contact information
Practice address
2547 PLAINFIELD NAPERVILLE RD, SUITE 104, NAPERVILLE, IL 60564-8909
(630) 420-4145
(630) 420-7582
Mailing address
2547 PLAINFIELD NAPERVILLE RD, SUITE 104, NAPERVILLE, IL 60564-8909
(630) 420-4145
(630) 420-7582
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
019019008
IL
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
019029518
IL
Other
Enumeration date
03/07/2017
Last updated
03/07/2017
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