Nastaran Agheli, DDS,MS
General Dentistry · Bourbonnais, IL
UnclaimedDDS,MSNPI 1821878786
- Primary taxonomy
- 1223G0001X
- Enumerated
- 2023-09-28
- Practice location
- Bourbonnais, IL
- Last NPPES update
- 2024-01-29
State licenses
- IL · Dentist · LICENSED DENTISTInactivethrough 2024
- MI · Dentist · NPPES self-reportedListed on NPI record
“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.