| Dover Dental Center | |
|
95 Trade St Ste 101 Aurora IL 60504-8296 | |
| (630) 851-7878 | |
| Not Available |
| Full Name | Dover Dental Center |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 95 Trade St Ste 101, Aurora, Illinois |
| Authorized Official Name and Position | Maryam Hafezi (GENERAL DENTIST) |
| Authorized Official Contact | 6308517878 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dover Dental Center 95 Trade St Ste 101 Aurora IL 60504-8296 Ph: () - | Dover Dental Center 95 Trade St Ste 101 Aurora IL 60504-8296 Ph: (630) 851-7878 |
| NPI Number | 1003449018 |
|---|---|
| Provider Enumeration Date | 02/18/2020 |
| Last Update Date | 03/02/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003449018 | NPI | - | NPPES |
| 019025427 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Secondary |
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