Distinctive Dental PC
Durable Medical Equipment & Medical Supplies in Bloomingdale, IL. Organization (NPI-2).
NPI number1669956256
StatusActive
Last updated in NPPESApr 18, 2022
Details
- NPI
- 1669956256
- Entity type
- Organization (NPI-2)
- Legal business name
- Distinctive Dental PC
- Organization subpart
- No
- Enumeration date
- Sep 19, 2018
- Certification date
- Apr 18, 2022
- Last updated
- Apr 18, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – | Yes |
| 1223G0001X | Dentist, General Practice | – | – |
Practice location
322 Erie CirBloomingdale, IL 60108-8818
Phone 630-359-0105
Mailing address
322 Erie CirBloomingdale, IL 60108-8818
Phone 163-041-7799
Authorized official
Javed Bhojani
Owner
6303590105
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