DBA Simply Teeth
NPI #1912354531 in Mt Prospect, Illinois
Provider Information
- NPI Number
- 1912354531
- Entity Type
- Organization
- Organization Name
- DBA Simply Teeth
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- May 24, 2016
- Last Updated
- May 24, 2016
Practice Location
- Address
- 905 E RAND RD
- Address 2
- SUITE 200
- City
- Mt Prospect
- State
- Illinois
- ZIP Code
- 60056-2570
- Phone
- (847) 870-1111
Authorized Official
- Name
- DHAVAL M PATEL, DDS
- Title
- DENTIST
- Phone
- (847) 870-1111
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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