Organization
AURORA MODERN DENTAL, LLC
Active
Other names
Aurora Modern Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIANOR SHAHMOHAMMADI DMD (CEO - NEXUS DENTISTRY)
(618) 917-5808
Entity
Organization
Contact information
Practice address
808 N ROUTE 59, AURORA, IL 60504-4912
(630) 692-0500
(630) 806-8082
Mailing address
808 N ROUTE 59, AURORA, IL 60504-4912
(630) 692-0500
(630) 806-8082
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019027170
IL
Other
Enumeration date
03/09/2010
Last updated
03/09/2010
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