Organization
DENTAL 360 PULASKI 67 LLC
Active
Other names
Dental 360 Lincoln
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMMED PARVEZ (OWNER)
(630) 294-1770
Entity
Organization
Contact information
Practice address
5961 N LINCOLN AVE STE 103B, CHICAGO, IL 60659-3758
(773) 293-6780
(773) 293-6796
Mailing address
5961 N LINCOLN AVE STE 103B, CHICAGO, IL 60659-3758
(773) 293-6780
(773) 293-6796
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
07/26/2024
Last updated
07/26/2024
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