Organization
OPULENT DENTISTRY
Active
Other names
Simply Teeth
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHIRAG N PATEL DDS (DENTIST)
(847) 870-1111
Entity
Organization
Contact information
Practice address
905 E RAND RD, SUITE 200, MT PROSPECT, IL 60056-2570
(847) 870-1111
(847) 749-4789
Mailing address
905 E RAND RD, SUITE 200, MT PROSPECT, IL 60056-2570
(847) 870-1111
(847) 749-4789
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
019028049
IL
Other
Enumeration date
05/15/2013
Last updated
05/15/2013
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