Individual
DR. AVANTIKA NARENDRA MUKHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
3201 N WESTERN AVE, CHICAGO, IL 60618
(773) 598-1019
Mailing address
1217 W GEORGE ST APT F2, CHICAGO, IL 60657-6690
(310) 614-6392
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019.033810
IL
1223G0001X
General Practice Dentistry
019.033810
IL
Other
Enumeration date
07/28/2022
Last updated
07/28/2022
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