Organization
ORTHODONTIC CARE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ASHOK T KOTHARI DDS (ORTHODONTIST)
(815) 729-0002
Entity
Organization
Contact information
Practice address
1106 N LARKIN AVE, JOLIET, IL 60435-3455
(815) 729-0002
(815) 729-3888
Mailing address
1106 N LARKIN AVE, JOLIET, IL 60435-3455
(815) 729-0002
(815) 729-3888
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
IL
Other
Enumeration date
04/21/2007
Last updated
08/22/2020
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