Individual
AMITOJ SINGH MEHTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
350 N CLARK ST STE 600, CHICAGO, IL 60654-4712
(920) 838-1649
Mailing address
350 N CLARK ST STE 600, CHICAGO, IL 60654-4712
(920) 838-1649
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019.029579
IL
Other
Enumeration date
08/08/2013
Last updated
08/08/2013
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