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NPI Code Detail

MEDICARE: DENTAL ASSOICATES OF ARLINGTON HEIGHTS

MEDICARE: DENTAL ASSOICATES OF ARLINGTON HEIGHTS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice DentistryIL

General Provider Information

NPI Number : 1770629453
Entity Type Code : Organization
Provider Name (Legal Business Name) : DENTAL ASSOICATES OF ARLINGTON HEIGHTS
Provider Business Mailing Address
First Line : 7 E GOLF RD
Second Line :
City : ARLINGTON HEIGHTS
State : IL
Zip : 60005-4001
Country : US
Telephone Number : 847-290-0222
Fax Number : 847-290-0225
Provider Business Practice Location Address
First Line : 7 E GOLF RD
Second Line :
City : ARLINGTON HEIGHTS
State : IL
Zip : 60005-4001
Country : US
Telephone Number : 847-290-0222
Fax Number : 847-290-0225
Authorized Official
Title or Position : PRESIDENT
Name : DR. SHAWN TOKUNAGA
Credential : DDS
Telephone Number : 847-290-0222
Provider Enumeration Date : 01/29/2007
Last Update Date : 08/22/2020

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Directions to “DENTAL ASSOICATES OF ARLINGTON HEIGHTS ” Practice Location

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