Prestige Dental P C
NPI #1710162581 in Streamwood, Illinois
Provider Information
- NPI Number
- 1710162581
- Entity Type
- Organization
- Organization Name
- Prestige Dental P C
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Dec 29, 2007
- Last Updated
- Dec 29, 2007
Practice Location
- Address
- 125 E IRVING PARK RD
- City
- Streamwood
- State
- Illinois
- ZIP Code
- 60107-2950
- Phone
- (630) 213-0682
Authorized Official
- Name
- MOEEN IKRAM, DDS
- Title
- PRESIDENT
- Phone
- (630) 213-0666
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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