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Individual

DR. AMI VAIDYA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DMD

Contact information

Practice address
25 E WASHINGTON ST, SUITE 1921, CHICAGO, IL 60602-1708
(312) 782-8862
Mailing address
3785 DOWNERS DR, DOWNERS GROVE, IL 60515-1329
(630) 890-0930

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019027900
IL
1223G0001X
General Practice Dentistry
P65184
NY

Other

Enumeration date
07/16/2008
Last updated
06/15/2010
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