Dental 360 Pulaski 67 LLC

NPI #1013746353 in Chicago, Illinois

Provider Information

NPI Number: 1013746353
Entity Type: Organization
Organization Name: Dental 360 Pulaski 67 LLC
Primary Specialty: Dentist
Enumeration Date: Jul 26, 2024
Last Updated: Jul 26, 2024

Practice Location

Address: 4714 N KIMBALL AVE STE B
City: Chicago
State: Illinois
ZIP Code: 60625-5305
Phone: (773) 267-2672

Authorized Official

Name: MOHAMMED PARVEZ, DMD
Title: OWNER
Phone: (630) 294-1770

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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