Premier Dental Care Illinois INC
NPI #1255985669 in Evanston, Illinois
Provider Information
- NPI Number
- 1255985669
- Entity Type
- Organization
- Organization Name
- Premier Dental Care Illinois INC
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Jul 25, 2019
- Last Updated
- Jul 25, 2019
Practice Location
Authorized Official
- Name
- HIDAYATHULLA KHAN
- Title
- OWNER
- Phone
- (224) 443-4988
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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