NPI | 1093827669 |
---|---|
Former Legal Business Name | ARLINGTON HEIGHTS PROFESSIONAL DENTAL |
Doing Business As | ARLINGTON HEIGHTS PROFESSIONAL DENTAL |
Entity Type | Organization |
Authorized Contact | SAHAND ZOMORRODIAN Owner 847-437-3533 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: IL 019.012257) |
1223P0700X Dentist, Prosthodontics (Licence: IL 019.012257) | |
Enumeration Date | 2006-08-31 |
Last Update Date | 2020-05-13 |