Organization
COSMOS FAMILY DENTAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TANIA LODHI DDS (DENTIST/OWNER)
(630) 229-6503
Entity
Organization
Contact information
Practice address
1187 N FARNSWORTH AVE UNIT 101, AURORA, IL 60505-2270
(630) 229-6503
(630) 229-6396
Mailing address
1187 N FARNSWORTH AVE UNIT 101, AURORA, IL 60505-2270
(630) 229-6503
(630) 229-6396
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
019-028960
IL
Other
Enumeration date
10/12/2017
Last updated
06/16/2018
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