Organization
HBP DENTAL PC
Active
Other names
West Chicago Dental Works
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HETAL B PATEL DDS (PRESIDENT)
(847) 909-0703
Entity
Organization
Contact information
Practice address
440 E ROOSEVELT RD, SUITE 112, WEST CHICAGO, IL 60185-3918
(847) 909-0703
Mailing address
440 E ROOSEVELT RD, SUITE 112, WEST CHICAGO, IL 60185-3918
(847) 909-0703
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019027323
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
019027323
—
IL
Enumeration date
06/06/2012
Last updated
06/06/2012
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