Sam Dauahera DDS PC
Sam Dauahera DDS PC provides General Practice Dentistry in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2013.
- Licensed in
- IL
- In the registry since
- 2013
What do these letters mean?
- PC — Professional corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
5131 W Devon AveChicago, IL 60646-4217 Not confirmed with CMS for 13 years — call before visiting
Phone: (773) 631-8717
Fax: (773) 631-7781
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Dentistry (primary) | Taxonomy 1223G0001X · Licence 019027577 (IL) |
|---|
Record details
| NPI number | 1992046205 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Sam Dauahera — Owner · (773) 456-5659 |
| Other names | Edgebrook Dental Associates |
| NPI enumerated | March 12, 2013 |
| Last updated in NPPES | March 12, 2013 |
| Mailing address | 5131 W Devon Ave, Chicago, IL 60646-4217 |
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