Dental Impression, SC
Dental Impression, SC is a Dentist in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2011.
- Licensed in
- IL
- In the registry since
- 2011
Practice location Address checks out
5430 S Kedzie AveChicago, IL 60632-2620
Phone: (773) 925-0650
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dentist (primary) | Taxonomy 122300000X · Licence 019025521 (IL) |
|---|
Record details
| NPI number | 1235415548 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Shafeeq Bader — President · (630) 452-6950 |
| NPI enumerated | November 1, 2011 |
| Last updated in NPPES | November 1, 2011 |
| Mailing address | 5430 S Kedzie Ave, Chicago, IL 60632-2620 |
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