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Organization
STUDIO DENTAL, LLC
Active
Organization
STUDIO DENTAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHIL KURAL (DIRECTOR DOCTOR CREDENTIALING)
(312) 274-4526
Entity
Organization
Contact information
Practice address
4310 S PULASKI RD, CHICAGO, IL 60632-4009
(773) 254-3300
(773) 254-3303
Mailing address
4310 S PULASKI RD, CHICAGO, IL 60632-4009
(773) 254-3300
(773) 254-3303
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
08/14/2013
Last updated
03/17/2020
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