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1144658691
GARDENIA DENTAL II LLC
CHICAGO, IL
NPI
1144658691
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Entity Type
Organization
Authorized Contact
MOHAMMAD KHAMIS
Manager
773-353-5047
Organization Subpart ?
No
Primary Taxonomy
261QD0000X Clinic/Center, Dental
Enumeration Date
2013-10-18
Last Update Date
2013-10-18
Business Address
GARDENIA DENTAL II LLC
5352 N LINCOLN AVE
CHICAGO, IL 60625-2316
Phone number: 773-353-5047
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Mailing Address
GARDENIA DENTAL II LLC
5352 N LINCOLN AVE
CHICAGO, IL 60625-2316
Phone number: 773-353-5047
Copy
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