Dental Nexus PLLC
Dentist, General Practice in Algonquin, IL. Organization (NPI-2).
NPI number1104719871
StatusActive
Last updated in NPPESJun 2, 2025
Details
- NPI
- 1104719871
- Entity type
- Organization (NPI-2)
- Legal business name
- Dental Nexus PLLC
- Organization subpart
- No
- Enumeration date
- Jun 2, 2025
- Certification date
- Jun 1, 2025
- Last updated
- Jun 2, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | – | – | Yes |
Other names
- Dental Eclipse (Doing Business As)
Practice location
272 S Randall RdAlgonquin, IL 60102-9775
Phone 630-504-3154
Mailing address
272 S Randall RdAlgonquin, IL 60102-9775
Authorized official
Mohammed Murtuza Ahmed
Owner/Manager
6305049154
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