Organization
PALOS HEIGHTS DENTAL GROUP, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROSHAN P PARIKH DDS MBA (PRESIDENT/OWNER)
(708) 425-7474
Entity
Organization
Contact information
Practice address
12130 S HARLEM AVE, PALOS HEIGHTS, IL 60463-1458
(708) 425-7474
Mailing address
12130 S HARLEM AVE, PALOS HEIGHTS, IL 60463-1458
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019027739
IL
Other
Enumeration date
05/21/2014
Last updated
05/21/2014
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