PA Dental Incorporated

NPI #1548809858 in Glenview, Illinois

Provider Information

NPI Number: 1548809858
Entity Type: Organization
Organization Name: PA Dental Incorporated
Primary Specialty: Dentist - General Practice
Enumeration Date: Jan 3, 2020
Last Updated: Jan 3, 2020

Practice Location

Address: 630 MILWAUKEE AVE STE 130
City: Glenview
State: Illinois
ZIP Code: 60025-5655
Phone: (847) 730-3771

Authorized Official

Name: AJITHA PARUCHURI
Title: OWNER
Phone: (847) 730-3771

Specialties & Taxonomy Codes

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

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