SPROUT PEDIATRIC DENTISTRY

CHICAGO, IL
NPI1538512884
Entity TypeOrganization
Authorized ContactJOHNNY I KUTTAB
Dentist
773-377-5658
Organization Subpart ?No
Primary Taxonomy122300000X Dentist
(Licence: IL  021002373)
Enumeration Date2016-07-21
Last Update Date2016-07-21
Business Address
SPROUT PEDIATRIC DENTISTRY
6036 NORTH NORTHWEST HIGHWAY
CHICAGO, IL 60631
Phone number: 773-377-5658
Mailing Address
SPROUT PEDIATRIC DENTISTRY
6036 N. NORTHWEST HIGWAY
CHICAGO, IL 60631
Phone number: 773-377-5658
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