Provider Demographics
NPI:1629203658
Name:VHASH DENTAL, P.C.
Entity Type:Organization
Organization Name:VHASH DENTAL, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DIMITRI
Authorized Official - Middle Name:
Authorized Official - Last Name:HARALAMPOPOULOS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-414-3309
Mailing Address - Street 1:1261 N LAKE ST
Mailing Address - Street 2:#J
Mailing Address - City:AURORA
Mailing Address - State:IL
Mailing Address - Zip Code:60506-2489
Mailing Address - Country:US
Mailing Address - Phone:630-801-0002
Mailing Address - Fax:
Practice Address - Street 1:1261 N LAKE ST
Practice Address - Street 2:SUITE #J
Practice Address - City:AURORA
Practice Address - State:IL
Practice Address - Zip Code:60506-2489
Practice Address - Country:US
Practice Address - Phone:630-801-0002
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-20
Last Update Date:2010-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL019023680122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty