Fullerton Dental Island LLC
Fullerton Dental Island LLC is a General Practice Dentistry in Chicago, Illinois. Registered with an NPI since 2024.
- In the registry since
- 2024
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
5205 W Fullerton AveChicago, IL 60639-1401
Phone: (312) 709-1722
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Dentistry (primary) | Taxonomy 1223G0001X |
|---|
Record details
| NPI number | 1265285167 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Wisam Musa — Owner · (312) 709-1722 |
| NPI enumerated | April 9, 2024 |
| Last updated in NPPES | April 9, 2024 |
| Certification date | April 9, 2024 |
| Mailing address | 5836 W 100th Pl, Oak Lawn, IL 60453-3774 |
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