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Organization
SEMPER DENTAL CENTER LLC
Active
Organization
SEMPER DENTAL CENTER LLC
Active
Other names
LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VICTOR HUGO RENDON JR. DDS (PRESIDENT)
(630) 991-0437
Entity
Organization
Contact information
Practice address
9714 FRANKLIN AVE, FRANKLIN PARK, IL 60131-1787
(773) 732-3408
(773) 925-9289
Mailing address
9714 FRANKLIN AVE, FRANKLIN PARK, IL 60131-1787
(773) 732-3408
(773) 925-9289
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
019027752
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9219530
—
IL
Enumeration date
08/04/2009
Last updated
08/04/2009
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