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Kokila Avasthi DDS PC

NPI #1346790565 in Park City, Illinois

Provider Information

NPI Number
1346790565
Entity Type
Organization
Organization Name
Kokila Avasthi DDS PC
Primary Specialty
Clinic/Center
Enumeration Date
Oct 12, 2016
Last Updated
Oct 12, 2016

Practice Location

Address
401 S GREENLEAF AVE
Address 2
STE #3
City
Park City
State
Illinois
ZIP Code
60085-5744
Phone
(847) 662-8341

Authorized Official

Name
DR. KOKILA AVASTHI, DDS
Title
OWNER/DENTIST
Phone
(847) 662-8341

Specialties & Taxonomy Codes

Specialty
Clinic/Center

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