Boca Dental Clinic Chicago LTD
Organization Active NPI Dental Clinic/Center · Melrose Park, IL
NPI 1023615374 · NPPES record last updated Oct 8, 2020
Key facts
- NPI
- 1023615374
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Dental Clinic/Center 261QD0000X
- Legal business name
- BOCA DENTAL CLINIC CHICAGO LTD
- Practice address
- 2208 N Mannheim Rd
Melrose Park, IL 60164-1837 - Phone
- (847) 451-7777
- NPI assigned
- Oct 8, 2020
- Organization subpart
- No
Authorized official
- Name
- Dr. Ashley M Rodriguez, DMD
- Title
- Owner
- Phone
- (847) 451-7777
Practitioners 1
-
Ashley Rodriguez, DMD
National Provider Directory
Locations
2208 N Mannheim Rd
Melrose Park, IL 60164
Phone (847) 451-7777
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | Yes |
Addresses
Primary practice location
2208 N Mannheim Rd
Melrose Park, IL 60164-1837
Mailing address
2208 N Mannheim Rd
Melrose Park, IL 60164-1837
Phone (847) 451-7777
Other providers in Melrose Park, IL
- Jonathan Bickmann
- Shuba Sadagopan Bindra
- Mariah Biscan
- Norman Eric Blase
- Steven A Bobbe
- Patricia Boden
- Elizabeth Bojarskyj
- Giancarlo Bonifazi
- Borys Sumyk, M.D., S.C.
- Dimitra Maria Bouzanis
All providers in Melrose Park, IL · Dental Clinic/Center in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 8, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.