Siri Chanthasalo, DDS, PC
Siri Chanthasalo, DDS, PC is a General Practice Dentistry in Elgin, Illinois. Licensed in Illinois. Registered with an NPI since 2008.
- Licensed in
- IL
- In the registry since
- 2008
What do these letters mean?
- PC — Professional corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
3091 W Route 20 #103Elgin, IL 60124
Phone: (847) 841-1555
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 019.025831 (IL) |
|---|
Record details
| NPI number | 1114178183 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Siri Chanthasalo — President · (847) 217-7215 |
| Other names | Providence Family Dental |
| NPI enumerated | October 8, 2008 |
| Last updated in NPPES | October 8, 2008 |
| Mailing address | 452 Westport Dr, Pingree Grove, IL 60140-9172 |
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