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Organization
PERFECT SMILE P.C.
Active
Organization
PERFECT SMILE P.C.
Active
Other names
Montrose Ashland Dental Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SALMAN UMAR POOTHAWALA DDS (DENTIST)
(773) 275-5600
Entity
Organization
Contact information
Practice address
1624 W MONTROSE AVE, CHICAGO, IL 60613-1214
(773) 275-5600
(773) 275-5868
Mailing address
1624 W MONTROSE AVE, CHICAGO, IL 60613-1214
(773) 275-5600
(773) 275-5868
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019026329
IL
Other
Enumeration date
03/17/2008
Last updated
03/17/2008
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