Organization
DOWNTOWN DENTAL & IMPLANTS OF OSWEGO INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHALINI MOHAN D.M.D. (PRESIDENT)
(630) 554-1855
Entity
Organization
Contact information
Practice address
60 MAIN ST, SUITE C, OSWEGO, IL 60543-8594
(630) 554-1855
(630) 554-6185
Mailing address
60 MAIN STREET, SUITE C, OSWEGO, IL 60543
(630) 554-1855
(630) 554-6185
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019-026487
IL
Other
Enumeration date
02/13/2014
Last updated
02/13/2014
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