Provider Demographics
NPI:1588039580
Name:DENTAL VUE OF ARLINGTON HEIGHTS PC
Entity Type:Organization
Organization Name:DENTAL VUE OF ARLINGTON HEIGHTS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:VICKEN
Authorized Official - Middle Name:
Authorized Official - Last Name:ISKHANIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-241-4161
Mailing Address - Street 1:305 E RAND RD
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON HEIGHTS
Mailing Address - State:IL
Mailing Address - Zip Code:60004-3103
Mailing Address - Country:US
Mailing Address - Phone:847-241-4161
Mailing Address - Fax:
Practice Address - Street 1:305 E RAND RD
Practice Address - Street 2:
Practice Address - City:ARLINGTON HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:60004-3103
Practice Address - Country:US
Practice Address - Phone:847-241-4161
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-02
Last Update Date:2015-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL0190248731223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty