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Organization
SUMMIT DENTAL CENTER LLC
Active
Organization
SUMMIT DENTAL CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MUZAFFAR MIRZA (OWNER)
(630) 643-7860
Entity
Organization
Contact information
Practice address
7557 W 63RD ST, SUMMIT, IL 60501-1813
(708) 924-1749
Mailing address
7557 W 63RD ST, SUMMIT, IL 60501-1813
(708) 924-1749
(630) 359-4933
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
09/22/2020
Last updated
05/23/2022
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