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1144958067
ICO DENTAL, LLC
CHICAGO, IL
NPI
1144958067
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Entity Type
Organization
Authorized Contact
THAER AL AZZAWI
Owner
713-382-8654
Organization Subpart ?
No
Primary Taxonomy
261QD0000X Clinic/Center, Dental
Enumeration Date
2022-08-09
Last Update Date
2022-08-09
Business Address
ICO DENTAL, LLC
4200 W PETERSON AVE STE 136
CHICAGO, IL 60646-6052
Phone number: 773-286-5286
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Mailing Address
ICO DENTAL, LLC
343 W WOLF POINT PLZ UNIT 1404
CHICAGO, IL 60654-0103
Phone number: 713-382-8654
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