Organization
ATHENA DENTAL GROUP PC
Active
Other names
Mount Prospect Smiles
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AVANTI SANGHAVI DDS (OFFICER)
(857) 544-2482
Entity
Organization
Contact information
Practice address
724 E NORTHWEST HWY, MOUNT PROSPECT, IL 60056-3442
(857) 544-2482
Mailing address
724 E NORTHWEST HWY, MOUNT PROSPECT, IL 60056-3442
(857) 544-2482
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019.028622
IL
Other
Enumeration date
08/19/2016
Last updated
08/19/2016
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