Organization
GENERAL DENTISTS LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOHAMMAD HOSSEIN RANJBARI DDS (OWNER)
(312) 421-9500
Entity
Organization
Contact information
Practice address
1718 S ASHLAND AVE, CHICAGO, IL 60608-2015
(312) 421-9500
(312) 421-1321
Mailing address
1718 S ASHLAND AVE, CHICAGO, IL 60608-2015
(312) 421-9500
(312) 421-1321
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
019022116
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1851500078
—
IL
Enumeration date
12/14/2017
Last updated
12/14/2017
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