Provider Demographics
NPI:1407098734
Name:IVORY TOUCH DENTAL
Entity Type:Organization
Organization Name:IVORY TOUCH DENTAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST/ OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:PINKY
Authorized Official - Middle Name:
Authorized Official - Last Name:ARORA
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:630-839-9566
Mailing Address - Street 1:1995 SPRINGBROOK SQUARE DR STE 119
Mailing Address - Street 2:
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60564-5953
Mailing Address - Country:US
Mailing Address - Phone:630-839-9566
Mailing Address - Fax:
Practice Address - Street 1:1995 SPRINGBROOK SQUARE DR STE 119
Practice Address - Street 2:
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60564-5953
Practice Address - Country:US
Practice Address - Phone:630-839-9566
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-01
Last Update Date:2009-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL019-0263171223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty