DR. Uday Balkrishna Phatak, DDS

NPI #1316165160 in Prospect Heights, Illinois

Provider Information

NPI Number: 1316165160
Entity Type: Individual
Name: DR. Uday Balkrishna Phatak, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Apr 24, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 642 N MILWAUKEE AVE STE A
City: Prospect Heights
State: Illinois
ZIP Code: 60070-2353
Phone: (847) 541-0008

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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