Organization
AYT DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMEET TRIVEDI DDS (PRESIDENT)
(317) 340-0044
Entity
Organization
Contact information
Practice address
450 W BRIAR PL, APT 6F, CHICAGO, IL 60657-4737
(317) 340-0044
Mailing address
450 W BRIAR PL, APT 6F, CHICAGO, IL 60657-4737
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019027397
IL
Other
Enumeration date
05/04/2011
Last updated
05/04/2011
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