Dexter Dental 3 LLC

NPI #1871850511 in Elgin, Illinois

Provider Information

NPI Number
1871850511
Entity Type
Organization
Organization Name
Dexter Dental 3 LLC
Primary Specialty
Dentist - General Practice
Enumeration Date
Apr 19, 2012
Last Updated
Apr 19, 2012

Practice Location

Address
47 CLOCK TOWER PLZ
City
Elgin
ZIP Code
60120-7800
Phone
(888) 988-4066

Authorized Official

Name
DR. KOUSHAN AZAD, DMD
Title
OWNER
Phone
(888) 988-4066

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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