Most Relevant Information
Provider Data
| NPI Number: | 1003062464 |
| Provider Name: | CHEITALI BHANSALI DMD |
| Entity Type: | Individual |
| Taxonomy Code: | 1223G0001X |
| Specialty: | Dentist |
| License Number: | 019-027796 |
Most Important Dates
| Enumeration Date: | 08/15/2008 |
| Last Updated: | 08/15/2008 |
Provider Practice Location
8715 RIDGELAND AVE
OAK LAWN
IL
604531001
Practice Location Phone/Fax
| Phone: | 7085998122 |
| Fax: |
Provider Mailing Location
1883 CHIPPENDALE LN
GLENDALE HEIGHTS
IL
601391916
Provider Mailing Phone/Fax
| Phone: | 6304522406 |
| Fax: |