Individual
DR. KOUROSH KARIMI-ARDEKANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
350 N. CLARK STREET, 6TH FLOOR, DENTAL DREAMS LLC, CHICAGO, IL 60654
(312) 274-4520
Mailing address
9236 MULLEN HILL RD, AVA, NY 13303-1928
(315) 723-8856
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
15515
MD
122300000X
Dentist
Primary
DEN1001278
DC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/06/2013
Last updated
08/14/2013
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