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Organization
THE DENTAL TEAM
Active
Organization
THE DENTAL TEAM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SABAH H KHALIFA (OWNER)
(773) 725-8818
Entity
Organization
Contact information
Practice address
4949 W IRVING PARK RD, CHICAGO, IL 60641-2655
(773) 725-8818
(773) 725-9491
Mailing address
4949 W IRVING PARK, CHICAGO, IL 60641
(773) 725-8818
(773) 725-9491
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
11/04/2005
Last updated
08/22/2020
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