Chicago Dental Boutiques

NPI #1043720907 in Chicago, Illinois

Provider Information

NPI Number: 1043720907
Entity Type: Organization
Organization Name: Chicago Dental Boutiques
Primary Specialty: Dentist
Enumeration Date: Oct 5, 2017
Last Updated: Oct 5, 2017

Practice Location

Address: 333 E BENTON PL STE 202
City: Chicago
State: Illinois
ZIP Code: 60601-7411
Phone: (312) 868-0301

Authorized Official

Name: DR. ROHI ATASSI, DDS
Title: DENTIST
Phone: (312) 868-0301

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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