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Organization

RESHMA DHAKE DDS LTD

Active
Other names
Forever Dental
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RESHMA DHAKE D.D.S. (DENTIST)
(773) 847-6453
Entity
Organization

Contact information

Practice address
4450 S ARCHER AVE, CHICAGO, IL 60632-2846
(773) 847-6453
(773) 847-2483
Mailing address
4450 S ARCHER AVE, CHICAGO, IL 60632-2846
(773) 847-6453
(773) 847-2483

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019026409
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
181044
IL
Enumeration date
04/04/2008
Last updated
10/21/2015
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