Provider Demographics
NPI:1932467842
Name:AURORA DENTRIX
Entity Type:Organization
Organization Name:AURORA DENTRIX
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:KISHORE
Authorized Official - Middle Name:NARAIN
Authorized Official - Last Name:BELANI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:630-859-8686
Mailing Address - Street 1:57 E DOWNER PL
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:IL
Mailing Address - Zip Code:60505-3340
Mailing Address - Country:US
Mailing Address - Phone:630-859-8686
Mailing Address - Fax:630-859-8684
Practice Address - Street 1:57 E DOWNER PL
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:IL
Practice Address - Zip Code:60505-3340
Practice Address - Country:US
Practice Address - Phone:630-859-8686
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-27
Last Update Date:2012-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL19A15182261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental