Organization
ENAMEL DENTAL SALON PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMMAD R EKHTERA DDS (OWNER)
(773) 564-9916
Entity
Organization
Contact information
Practice address
3190 N ELSTON AVE, CHICAGO, IL 60618-5845
(773) 564-9916
(872) 203-9984
Mailing address
3190 N ELSTON AVE, CHICAGO, IL 60618-5845
(773) 564-9916
(872) 203-9984
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
02/19/2025
Last updated
02/19/2025
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