Organization
ROHANISH ENTERPRISES INC
Active
Other names
Stratford square periodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUZER CHINWALLA DDS, MSD (PRESIDENT)
(630) 582-3120
Entity
Organization
Contact information
Practice address
1 TIFFANY PT STE 205, BLOOMINGDALE, IL 60108-2916
(630) 582-3120
(630) 582-3137
Mailing address
1 TIFFANY PT STE 205, BLOOMINGDALE, IL 60108-2916
(630) 582-3120
(630) 582-3137
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
019023850
IL
Other
Enumeration date
08/03/2011
Last updated
08/03/2011
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