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General NPI Number Information
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NPI Number | 1255205167
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Entity Type | Organization
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Legal Business Name | RESHMA DHAKE DDS LTD
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Dates
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Enumeration Date | 10/02/2025
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Last Update Date | 10/02/2025
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Provider Practice Location Address
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Address Line | 2550 OAK PARK AVE
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City | BERWYN
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State | IL
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Zip | 60402-4661
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Country | US
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Telephone | 708-788-9414
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Fax |
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Provider Business Mailing Address
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Address Line | 2550 OAK PARK AVE
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City | BERWYN
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State | IL
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Zip | 60402-4661
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Country | US
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Telephone | 708-788-9414
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Fax |
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Authorized Official
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Title or Position | DENTIST
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Name | DR. RESHMA DHAKE
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Credential | DDS
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Telephone | 773-847-6453
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number |
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License Number State |
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