Organization
DENTAL SALON LLC
Active
Other names
Dental Salon Chicago
Organization subpart
No
Provider details
NPI number
Authorized official
POOJA MODY (OWNER)
(619) 885-2725
Entity
Organization
Contact information
Practice address
939 W NORTH AVE STE 890, CHICAGO, IL 60642-8683
(312) 642-3370
Mailing address
18 MOHAWK DR, SOUTH BARRINGTON, IL 60010-9547
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
08/30/2025
Last updated
08/30/2025
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