Organization
MANISHKUMAR R GANDHI DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MANISHKUMAR R GANDHI DDS (PRESIDENT/OWNER)
(773) 376-8444
Entity
Organization
Contact information
Practice address
1952 W CERMAK RD, CHICAGO, IL 60608-4204
(773) 376-8444
Mailing address
716 MIDWEST CLUB PKWY, OAK BROOK, IL 60523-2531
(773) 376-8444
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
19015777
IL
Other
Enumeration date
03/29/2008
Last updated
03/29/2008
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