Art of Modern Dentistry Pediatrics P.c

NPI #1194130013 in Chicago, Illinois

Provider Information

NPI Number: 1194130013
Entity Type: Organization
Organization Name: Art of Modern Dentistry Pediatrics P.c
Primary Specialty: Dentist
Enumeration Date: Jun 30, 2014
Last Updated: Jun 30, 2014

Practice Location

Address: 1510 S WABASH AVE
City: Chicago
State: Illinois
ZIP Code: 60605-2809
Phone: (312) 922-1898

Authorized Official

Name: DR. FARIDEH NIKOO DAFTARY, DDS
Title: OWNER/DENTIST
Phone: (312) 922-1898

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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