Organization
ATASSI ADVANCED DENTAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BANA ATASSI DDS (OWNER)
(630) 769-9940
Entity
Organization
Contact information
Practice address
801 PLAINFIELD RD, DARIEN, IL 60561-4286
(630) 769-9940
Mailing address
801 PLAINFIELD RD, DARIEN, IL 60561-4286
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019-023267
IL
1223G0001X
General Practice Dentistry
019-026463
IL
Other
Enumeration date
10/27/2009
Last updated
10/27/2009
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