# SO-WELL DENTAL ASSOCIATES,P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255503462
- **Authorized official:** DR. ZENOBIA L. SOWELL DDS (PRESIDENT)
- **Authorized official phone:** (312) 944-9355

## Contact information

- **Practice address:** 1122 N CLARK ST, SUITE 1, CHICAGO, IL 60610-2857
- **Practice address phone:** (312) 944-9355
- **Practice address fax:** (312) 944-7328
- **Mailing address:** 1122 N CLARK ST, SUITE 1, CHICAGO, IL 60610-2857
- **Mailing address phone:** (312) 944-9355
- **Mailing address fax:** (312) 944-7328

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | IL | Yes |

## Other

- **Enumeration date:** 03/27/2008
- **Last updated:** 03/27/2008
