Organization
HANOVER SMILE DENTAL P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMIT PITHVA D.D.S. (PRESIDENT)
(630) 550-3392
Entity
Organization
Contact information
Practice address
6602 BARRINGTON RD, G, HANOVER PARK, IL 60133-3900
(630) 550-3392
Mailing address
6602 BARRINGTON RD, G, HANOVER PARK, IL 60133-3900
(630) 550-3392
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
05/27/2010
Last updated
05/27/2010
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