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Organization
NAPERVILLE DENTISTRY LLC
Active
Organization
NAPERVILLE DENTISTRY LLC
Active
Other names
Archer Dentistry II
Organization subpart
No
Provider details
NPI number
Authorized official
HAMZA MOHAMMED (ADMINISTRATOR)
(630) 247-7216
Entity
Organization
Contact information
Practice address
1568 W OGDEN AVE STE 108, NAPERVILLE, IL 60540-4090
(630) 247-7216
(773) 787-2400
Mailing address
3924 S ARCHER AVE UNIT D, CHICAGO, IL 60632-1116
(630) 247-7216
(773) 787-2400
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
1223G0001X
General Practice Dentistry
Primary
—
—
261QD0000X
Dental Clinic/Center
—
—
Other
Enumeration date
07/12/2021
Last updated
07/12/2021
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