Organization
ILLINOIS MOBILE DENTISTRY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANU SOOD DDS (DENTIST/OWNER)
(312) 451-4106
Entity
Organization
Contact information
Practice address
300 S MCLEAN BLVD STE M, ELGIN, IL 60123-1023
(224) 535-8515
(224) 535-9366
Mailing address
300 S MCLEAN BLVD STE M, ELGIN, IL 60123-1023
(224) 535-8515
(224) 535-9366
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
03/04/2011
Last updated
06/13/2013
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