| 4 Rivers Dental Ltd | |
|
840 Willow Rd Ste H Northbrook IL 60062-6823 | |
| (847) 559-9550 | |
| Not Available |
| Full Name | 4 Rivers Dental Ltd |
|---|---|
| Speciality | Dentist |
| Location | 840 Willow Rd Ste H, Northbrook, Illinois |
| Authorized Official Name and Position | Mohammad Moein Azimi (OWNER) |
| Authorized Official Contact | 6309999637 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 4 Rivers Dental Ltd 1917 W Race Ave Chicago IL 60622-6249 Ph: (847) 559-9550 | 4 Rivers Dental Ltd 840 Willow Rd Ste H Northbrook IL 60062-6823 Ph: (847) 559-9550 |
| NPI Number | 1467337964 |
|---|---|
| Provider Enumeration Date | 08/06/2025 |
| Last Update Date | 08/06/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467337964 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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