Organization
HIROSHI UENO DDS MS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HIROSHI UENO DDS MS (OWNER)
(314) 728-7175
Entity
Organization
Contact information
Practice address
916 ELK GROVE TOWN CTR, ELK GROVE VILLAGE, IL 60007-3754
(314) 728-7175
Mailing address
916 ELK GROVE TOWN CTR, ELK GROVE VILLAGE, IL 60007-3754
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1164807632
—
MO
Enumeration date
11/28/2021
Last updated
05/11/2026
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