Affordable Dentures & Implants - Illinois, Pllc
NPI #1629644307 in Bourbonnais, Illinois
Provider Information
- NPI Number
- 1629644307
- Entity Type
- Organization
- Organization Name
- Affordable Dentures & Implants - Illinois, Pllc
- Primary Specialty
- Dentist
- Enumeration Date
- Jun 2, 2021
- Last Updated
- Jun 2, 2021
Practice Location
- Address
- 1569 N STATE ROUTE 50
- City
- Bourbonnais
- State
- Illinois
- ZIP Code
- 60914-4429
- Phone
- (815) 907-8020
Authorized Official
- Name
- DIBYENDU MEHTA, DDS
- Title
- OWNER
- Phone
- (815) 907-8020
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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