Organization
NC TELEDENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NISHA CHAUHAN (FOUNDER)
(630) 437-1639
Entity
Organization
Contact information
Practice address
211 E OHIO ST, CHICAGO, IL 60611-3262
(630) 437-1639
Mailing address
211 E OHIO ST, CHICAGO, IL 60611-3262
(630) 437-1639
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
11/25/2022
Last updated
11/25/2022
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