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Organization
PAUL ANAST DENTAL PLLC
Active
Organization
PAUL ANAST DENTAL PLLC
Active
Other names
Southland Smiles
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KIMBERLY M CERVANTES (MANAGER)
(708) 799-7800
Entity
Organization
Contact information
Practice address
19815 GOVERNORS HWY STE 7, FLOSSMOOR, IL 60422-4388
(708) 799-7800
(708) 799-4864
Mailing address
19815 GOVERNORS HWY STE 7, FLOSSMOOR, IL 60422-4388
(708) 799-7800
(708) 799-4864
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
07/30/2024
Last updated
07/30/2024
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