Advanced Periodontics and Implants, Ltd

NPI #1356668867 in Evanston, Illinois

Provider Information

NPI Number
1356668867
Entity Type
Organization
Organization Name
Advanced Periodontics and Implants, Ltd
Primary Specialty
Clinic/Center - Dental
Enumeration Date
Apr 23, 2010
Last Updated
Apr 23, 2010

Practice Location

Address
900 CHICAGO AVE
Address 2
UNIT 702
ZIP Code
60202-1872
Phone
(312) 854-0806

Authorized Official

Name
DR. NIKISHA NANDINI JODHAN, DDS
Title
PERIODONTIST/ PRESIDENT
Phone
(847) 512-7410

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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