Organization
CD DENTAL CARE LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AVANTI SANGHAVI (DENTIST)
(312) 964-5056
Entity
Organization
Contact information
Practice address
452 N WESTERN AVE, B, CHICAGO, IL 60612-1420
(312) 964-5056
Mailing address
452 N WESTERN AVE, B, CHICAGO, IL 60612-1420
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019028622
IL
Other
Enumeration date
05/27/2016
Last updated
05/27/2016
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