Organization
SATNAM DENTAL CARE SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NISHTHA VINIAK DDS (PRESIDENT)
(773) 704-1974
Entity
Organization
Contact information
Practice address
721 W 15TH ST, CHICAGO, IL 60607-5139
(773) 704-1974
Mailing address
3303 S HALSTED ST STE 207, CHICAGO, IL 60608-6877
(773) 704-1974
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019027356
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1184826174
NPI NUMBER
IL
Enumeration date
02/25/2017
Last updated
03/15/2017
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