Organization
M.R.ADATIA, DDS PC
Active
Other names
A-1 Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAYANK R ADATIA D.D.S (PRESIDENT)
(847) 769-4132
Entity
Organization
Contact information
Practice address
359 N FARNSWORTH AVE, AURORA, IL 60505-3082
(630) 898-0405
(847) 220-9218
Mailing address
1013 SHEPPEY CT, NAPERVILLE, IL 60565-6109
(630) 355-1620
(847) 220-9218
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
019017350
IL
261QD0000X
Dental Clinic/Center
Primary
—
IL
Other
Enumeration date
03/12/2008
Last updated
12/22/2014
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