Individual
KAVEH KANDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2604 DEMPSTER ST STE 502, PARK RIDGE, IL 60068-8429
(224) 217-5400
(224) 217-5405
Mailing address
2604 DEMPSTER ST STE 502, PARK RIDGE, IL 60068-8429
(224) 217-5400
(224) 217-5405
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019.033137
IL
Other
Enumeration date
06/10/2021
Last updated
05/13/2024
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