ICO DENTAL, LLC

CHICAGO, IL
NPI1144958067
Entity TypeOrganization
Authorized ContactTHAER AL AZZAWI
Owner
713-382-8654
Organization Subpart ?No
Primary Taxonomy261QD0000X Clinic/Center, Dental
Enumeration Date2022-08-09
Last Update Date2022-08-09
Business Address
ICO DENTAL, LLC
4200 W PETERSON AVE STE 136
CHICAGO, IL 60646-6052
Phone number: 773-286-5286
Mailing Address
ICO DENTAL, LLC
343 W WOLF POINT PLZ UNIT 1404
CHICAGO, IL 60654-0103
Phone number: 713-382-8654