Organization
DENTAL 360 PULASKI 67 LLC
Active
Other names
Dental 360 Little Village
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMMED PARVEZ DMD (OWNER)
(630) 294-1770
Entity
Organization
Contact information
Practice address
3535 W 26TH ST STE B, CHICAGO, IL 60623-3913
(773) 801-1520
(773) 801-1546
Mailing address
3535 W 26TH ST STE B, CHICAGO, IL 60623-3913
(773) 801-1520
(773) 801-1546
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
07/26/2024
Last updated
07/26/2024
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