Dental Shine III P C
Dental Shine III P C is a Dental Clinic/Center in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2009.
- Licensed in
- IL
- In the registry since
- 2009
Practice location Address checks out
2902 W 63rd StChicago, IL 60629
Phone: (773) 776-6666
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dental Clinic/Center (primary) | Taxonomy 261QD0000X · Licence 019026154 (IL) |
|---|
Record details
| NPI number | 1902131444 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Firas El-Muqdad — President · (773) 776-6666 |
| NPI enumerated | October 15, 2009 |
| Last updated in NPPES | October 15, 2009 |
| Mailing address | 2902 W 63rd St., Chicago, IL 60629 |
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