Organization
MOHAMMAD R EKHTERA DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMMAD REZA EKHTERA DDS (PRESIDENT)
(773) 564-9916
Entity
Organization
Contact information
Practice address
3190 N ELSTON AVE, CHICAGO, IL 60618-7129
(773) 564-9916
(872) 203-9984
Mailing address
ENAMEL DENTAL SALON, 3190 N. ELSTON AVE, CHICAGO, IL 60618-7129
(773) 564-9916
(872) 203-9984
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
08/19/2014
Last updated
10/20/2025
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