Complete Dental Care Ltd
Dentist, General Practice in Chicago, IL. Organization (NPI-2).
NPI number1639168024
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1639168024
- Entity type
- Organization (NPI-2)
- Legal business name
- Complete Dental Care Ltd
- Organization subpart
- No
- Enumeration date
- Oct 18, 2005
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 019-023643 | IL | Yes |
Practice location
3205 W Irving Park RdChicago, IL 60618-3301
Phone 773-267-2671 · Fax 773-267-2628
Mailing address
3205 W Irving Park RdChicago, IL 60618-3301
Phone 773-267-2671 · Fax 773-267-2628
Authorized official
Youil Mamook
Officer/Owner
7732672671
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