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Organization
SMILE HAVEN PLLC
Active
Organization
SMILE HAVEN PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AHMED MASSAD DMD (MEMBER)
(708) 916-2406
Entity
Organization
Contact information
Practice address
3939 W FULLERTON AVE, CHICAGO, IL 60647-2243
(773) 235-0000
Mailing address
3939 W FULLERTON AVE, CHICAGO, IL 60647-2243
(773) 235-0000
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
06/02/2023
Last updated
09/12/2023
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