Pristine Dental P C
NPI #1851537104 in West Chicago, Illinois
Provider Information
- NPI Number
- 1851537104
- Entity Type
- Organization
- Organization Name
- Pristine Dental P C
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Dec 16, 2008
- Last Updated
- Dec 16, 2008
Practice Location
- Address
- 159 N NELTNOR BLVD UNIT 100
- City
- West Chicago
- State
- Illinois
- ZIP Code
- 60185-2315
- Phone
- (773) 398-5822
Authorized Official
- Name
- DR. MOEEN IKRAM
- Title
- PRESIDENT
- Phone
- (773) 398-5822
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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