| Aurora Modern Dental | |
|
808 N Route 59 Aurora IL 60504-4912 | |
| (630) 692-0500 | |
| (630) 806-8082 |
| Full Name | Aurora Modern Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 808 N Route 59, Aurora, Illinois |
| Authorized Official Name and Position | Kianor Shahmohammadi (CEO - NEXUS DENTISTRY) |
| Authorized Official Contact | 6189175808 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Aurora Modern Dental 808 N Route 59 Aurora IL 60504-4912 Ph: (630) 692-0500 | Aurora Modern Dental 808 N Route 59 Aurora IL 60504-4912 Ph: (630) 692-0500 |
| NPI Number | 1528381399 |
|---|---|
| Provider Enumeration Date | 03/09/2010 |
| Last Update Date | 03/09/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528381399 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 019027170 (Illinois) | Primary |
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