Organization
ABSOLUTE DENTISTRY LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ISZA AICH-RANJBARI DDS (PRESIDENT)
(773) 804-9500
Entity
Organization
Contact information
Practice address
4911 W DIVERSEY AVE, CHICAGO, IL 60639-1705
(773) 804-9500
(773) 804-9501
Mailing address
4911 W DIVERSEY AVE, CHICAGO, IL 60639-1705
(773) 804-9500
(773) 804-9501
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
122300000X
TAXONOMY
IL
Enumeration date
12/09/2015
Last updated
12/09/2015
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