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Organization
DENTAL SHINE, LTD
Active
Organization
DENTAL SHINE, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FIRAS F EL-MUQDAD (PRESIDENT)
(708) 222-8995
Entity
Organization
Contact information
Practice address
2319 S CICERO AVE, CICERO, IL 60804-2451
(708) 222-8995
Mailing address
2319 S CICERO AVE, CICERO, IL 60804-2451
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
IL
Other
Enumeration date
04/09/2008
Last updated
04/09/2008
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