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Organization

G B VAIDYA DDS PC

Active
Other names
Girish B Vaidya
Organization subpart
No

Provider details

NPI number
Authorized official
GIRISH BAPALAL VAIDYA (PRESIDENT)
(773) 533-4323
Entity
Organization

Contact information

Practice address
3900 W MADISON ST, SUITE #12, CHICAGO, IL 60624
(773) 533-4323
(773) 533-0531
Mailing address
3900 W MADISON ST, SUITE #12, CHICAGO, IL 60624
(773) 533-4323
(773) 533-0531

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
IL

Other

Enumeration date
04/09/2007
Last updated
08/22/2020
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