Organization
PRO DENTAL CONCEPTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAJAN VERMA D.D.S. (PRESIDENT)
(630) 862-1455
Entity
Organization
Contact information
Practice address
2393 BAINBRIDGE BLVD, WEST CHICAGO, IL 60185-6423
(630) 862-1455
Mailing address
2020 E MAIN ST, ST CHARLES, IL 60174-2304
(630) 513-7884
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
19-026273
IL
Other
Enumeration date
05/20/2007
Last updated
08/22/2020
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