Organization
AURORA DENTRIX NORTH AURORA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PURVI VAKIL DDS (PARTNER)
(951) 756-3767
Entity
Organization
Contact information
Practice address
111 OAK ST, NORTH AURORA, IL 60542-1129
(630) 892-6515
(630) 892-4979
Mailing address
111 OAK ST, NORTH AURORA, IL 60542-1129
(630) 892-6515
(630) 892-4979
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
261QD0000X
Dental Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1144517731
—
IL
Enumeration date
09/27/2022
Last updated
11/09/2023
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