Nastaran Agheli, DDS,MS

NPI #1821878786 in Bourbonnais, Illinois

Provider Information

NPI Number: 1821878786
Entity Type: Individual
Name: Nastaran Agheli, DDS,MS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DDS,MS
Enumeration Date: Sep 28, 2023
Last Updated: Jan 29, 2024

Practice Location

Address: 2034 N STATE ROUTE 50
City: Bourbonnais
State: Illinois
ZIP Code: 60914-4410
Phone: (815) 929-0222

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X
Dentist - General Practice — General Practice	1223G0001X	Primary

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