Organization
CHICAGO DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ATUL PATEL DDS (DENTIST)
(773) 772-0077
Entity
Organization
Contact information
Practice address
3414 W NORTH AVE, CHICAGO, IL 60647-4807
(773) 772-0077
Mailing address
3414 W NORTH AVE, CHICAGO, IL 60647-4807
(773) 772-0077
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
02/19/2019
Last updated
02/19/2019
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