Organization
SIDDHI VINAYAK DENTAL
Active
Other names
Kidzee Dental
Organization subpart
No
Provider details
NPI number
Authorized official
VIDHI KAKADIA (MANAGER)
(630) 800-1137
Entity
Organization
Contact information
Practice address
5521 S KEDZIE AVE, UNIT 105, CHICAGO, IL 60629
(203) 362-9987
Mailing address
5521 S KEDZIE AVE, UNIT 105, CHICAGO, IL 60629
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
019027969
IL
261QD0000X
Dental Clinic/Center
Primary
019027969
IL
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
10/05/2017
Last updated
03/10/2026
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