Organization
PSP DENTAL SERVICES PC
Active
Other names
Roots Dental Studio
Organization subpart
No
Provider details
NPI number
Authorized official
PARAJ PATEL DMD (PRESIDENT)
(201) 303-8996
Entity
Organization
Contact information
Practice address
5425 W 95TH ST, OAK LAWN, IL 60453-2354
(708) 636-0565
(708) 636-0566
Mailing address
5425 W 95TH ST, OAK LAWN, IL 60453-2354
(708) 636-0565
(708) 636-0566
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
IL
Other
Enumeration date
04/23/2018
Last updated
01/08/2025
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