Aurora Modern Dental, LLC

NPI #1528381399 in Aurora, Illinois

Provider Information

NPI Number: 1528381399
Entity Type: Organization
Organization Name: Aurora Modern Dental, LLC
Primary Specialty: Dentist - General Practice
Enumeration Date: Mar 9, 2010
Last Updated: Mar 9, 2010

Practice Location

Address: 808 N ROUTE 59
City: Aurora
State: Illinois
ZIP Code: 60504-4912
Phone: (630) 692-0500

Authorized Official

Name: DR. KIANOR SHAHMOHAMMADI, DMD
Title: CEO - NEXUS DENTISTRY
Phone: (618) 917-5808

Specialties & Taxonomy Codes

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

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