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1104077692
PERFECT DENTAL SMILE, LTD.
CHICAGO, IL
NPI
1104077692
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Entity Type
Organization
Authorized Contact
BUSHRA AHMED AL AZZAWI
Dentist
773-561-2808
Organization Subpart ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: IL 019024872)
Enumeration Date
2008-10-02
Last Update Date
2009-11-10
Business Address
PERFECT DENTAL SMILE, LTD.
2545 W PETERSON AVE SUITE 201
CHICAGO, IL 60659-4091
Phone number: 773-561-2808
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Mailing Address
PERFECT DENTAL SMILE, LTD.
2545 W PETERSON AVE SUITE 201
CHICAGO, IL 60659-4091
Phone number: 773-561-2808
Copy
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