Organization
U.S. DENTAL GROUP LLC
Active
Other names
Dental Vue
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VICKEN ISHKHANIAN (MANAGER)
(184) 741-4357
Entity
Organization
Contact information
Practice address
1447 LEE ST, DES PLAINES, IL 60018-1516
(847) 294-0404
Mailing address
1447 LEE ST, DES PLAINES, IL 60018-1516
(847) 294-0404
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1004451
—
IL
Enumeration date
09/30/2022
Last updated
09/30/2022
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