GARDENIA DENTAL II LLC

CHICAGO, IL
NPI1144658691
Entity TypeOrganization
Authorized ContactMOHAMMAD KHAMIS
Manager
773-353-5047
Organization Subpart ?No
Primary Taxonomy261QD0000X Clinic/Center, Dental
Enumeration Date2013-10-18
Last Update Date2013-10-18
Business Address
GARDENIA DENTAL II LLC
5352 N LINCOLN AVE
CHICAGO, IL 60625-2316
Phone number: 773-353-5047
Mailing Address
GARDENIA DENTAL II LLC
5352 N LINCOLN AVE
CHICAGO, IL 60625-2316
Phone number: 773-353-5047