Fairview Dental Care Group P.c.

NPI #1356707764 in Westmont, Illinois

Provider Information

NPI Number: 1356707764
Entity Type: Organization
Organization Name: Fairview Dental Care Group P.c.
Subpart: Yes (part of a larger organization)
Parent Organization: GREAT LAKES DENTAL PARTNERS LLC
Primary Specialty: Dentist - General Practice
Enumeration Date: Jan 14, 2016
Last Updated: Jan 14, 2016

Practice Location

Address: 6317 FAIRVIEW AVE
Address 2: SUITE 6
City: Westmont
State: Illinois
ZIP Code: 60559-2887
Phone: (630) 852-5353

Authorized Official

Name: MR. ROSHAN PARIKH, D.D.S.
Title: PRESIDENT/CEO
Phone: (630) 852-5353

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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