Individual
DR. MANISH R GANDHI
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
716 MIDWEST CLUB PKWY, OAK BROOK, IL 60523-2531
(312) 433-2222
Mailing address
716 MIDWEST CLUB PKWY, OAK BROOK, IL 60523-2531
(312) 433-2222
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
19015777
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
19015777
—
IL
Enumeration date
04/03/2006
Last updated
07/08/2007
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