Advanced Imaging Studio, Inc.

NPI #1164723565 in Chicago, Illinois

Provider Information

NPI Number: 1164723565
Entity Type: Organization
Organization Name: Advanced Imaging Studio, Inc.
Primary Specialty: Dentist
Enumeration Date: Nov 16, 2010
Last Updated: Nov 16, 2010

Practice Location

Address: 4307 N CENTRAL AVE
City: Chicago
State: Illinois
ZIP Code: 60634-1815
Phone: (773) 283-3232

Authorized Official

Name: MR. EROS SANTOS
Title: GENERAL MANAGER
Phone: (773) 283-3232

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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