Organization
PRAKASH K UPADHYAYA DDS LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PRAKASH K UPADHYAYA DDS (DENTIST)
(773) 378-3636
Entity
Organization
Contact information
Practice address
5110 W CHICAGO AVE, CHICAGO, IL 60651
(773) 378-3636
Mailing address
7 FOUNDERS POINTE NORTH, BLOOMINGDALE, IL 60108
(773) 378-3636
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
IL
Other
Enumeration date
06/25/2007
Last updated
08/22/2020
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