Ravi Amin

NPI #1962986208 in Crystal Lake, Illinois

Provider Information

NPI Number: 1962986208
Entity Type: Individual
Name: Ravi Amin
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Enumeration Date: Sep 22, 2018
Last Updated: Sep 22, 2018

Practice Location

Address: 720 COG CIR STE H
City: Crystal Lake
State: Illinois
ZIP Code: 60014-7301
Phone: (779) 220-4396

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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