Organization
ARTISTIC COSMETIC DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NASRIN AZIMZADEH D.M.D. (OWNER)
(847) 296-3200
Entity
Organization
Contact information
Practice address
1455 E GOLF RD, SUITE 209, DES PLAINES, IL 60016-1250
(847) 296-3200
(847) 296-3205
Mailing address
1455 E GOLF RD, SUITE 209, DES PLAINES, IL 60016-1250
(847) 296-3200
(847) 296-3205
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019024883
IL
Other
Enumeration date
06/11/2007
Last updated
05/14/2008
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