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Organization
SAUK TRAIL DENTAL CARE
Active
Organization
SAUK TRAIL DENTAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAWAL GARUBA DMD (DENTIST)
(708) 608-3368
Entity
Organization
Contact information
Practice address
4343 SAUK TRL, RICHTON PARK, IL 60471-1254
(708) 608-3368
Mailing address
4343 SAUK TRL, RICHTON PARK, IL 60471-1254
(708) 608-3368
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
261QD0000X
Dental Clinic/Center
—
—
Other
Enumeration date
03/04/2021
Last updated
05/25/2021
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