Organization
HUT DENTAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MORRIS HUTABARAT DDS (PRESIDENT)
(630) 572-9696
Entity
Organization
Contact information
Practice address
120 OAK BROOK CENTER MALL, SUITE 625, OAK BROOK, IL 60523-1806
(630) 572-9696
(630) 572-9743
Mailing address
PO BOX 5004, OAK BROOK, IL 60522-5004
(630) 572-9696
(630) 572-9743
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
060-005394
IL
Other
Enumeration date
10/13/2008
Last updated
10/13/2008
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