FULLERTON DENTAL ISLAND LLC

CHICAGO, IL
NPI1265285167
Entity TypeOrganization
Authorized ContactWISAM MUSA
Owner
312-709-1722
Organization Subpart ?No
Primary Taxonomy1223G0001X Dentist, General Practice
Enumeration Date2024-04-09
Last Update Date2024-04-09
Business Address
FULLERTON DENTAL ISLAND LLC
5205 W FULLERTON AVE
CHICAGO, IL 60639-1401
Phone number: 312-709-1722
Mailing Address
FULLERTON DENTAL ISLAND LLC
5836 W 100TH PL
OAK LAWN, IL 60453-3774
Phone number: 312-709-1722
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