Organization
KRISHY DENTAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAYSHREE PATEL D.D.S. (DENTIST)
(773) 638-0069
Entity
Organization
Contact information
Practice address
3625 W CHICAGO AVE, CHICAGO, IL 60651-3934
(773) 638-0069
Mailing address
3623 W CHICAGO AVE, CHICAGO, IL 60651-3934
(773) 638-0069
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019020483
IL
Other
Enumeration date
01/19/2006
Last updated
12/02/2016
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