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1609895754
ADVANCE DENTAL MAKEOVER PC
CHICAGO, IL
NPI
1609895754
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Entity Type
Organization
Authorized Contact
WISAM R MOHAMMAD
President
773-604-5050
Organization Subpart ?
No
Primary Taxonomy
122300000X Dentist
(Licence: IL 019026000)
Enumeration Date
2006-07-19
Last Update Date
2020-08-22
Business Address
ADVANCE DENTAL MAKEOVER PC
4707 N PULASKI RD
CHICAGO, IL 60630-4312
Phone number: 773-604-5050
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Mailing Address
ADVANCE DENTAL MAKEOVER PC
4707 N PULASKI RD
CHICAGO, IL 60630-4312
Phone number: 773-604-5050
Copy
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