Organization
AMERIDENT ASSOCIATES
Active
Other names
Amerident Dental Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KAMAL M VIBHAKAR D.D.S (PARTNER)
(773) 277-0200
Entity
Organization
Contact information
Practice address
4008 W 26TH ST, CHICAGO, IL 60623-3708
(773) 277-0200
(773) 277-0202
Mailing address
4008 W 26TH ST, CHICAGO, IL 60623-3708
(773) 277-0200
(773) 277-0202
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019-16545
IL
Other
Enumeration date
08/31/2007
Last updated
08/31/2007
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