DENTAL SHINE III P C

CHICAGO, IL
NPI1902131444
Entity TypeOrganization
Authorized ContactFIRAS EL-MUQDAD
President
773-776-6666
Organization Subpart ?No
Primary Taxonomy261QD0000X Clinic/Center, Dental
(Licence: IL  019026154)
Enumeration Date2009-10-15
Last Update Date2009-10-15
Business Address
DENTAL SHINE III P C
2902 W 63RD ST.
CHICAGO, IL 60629
Phone number: 773-776-6666
Mailing Address
DENTAL SHINE III P C
2902 W 63RD ST.
CHICAGO, IL 60629
Phone number: