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Organization
STONE DENTAL FROUP
Active
Organization
STONE DENTAL FROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NASRIN AZIMZADEH D.M.D. (OWNER)
77388050800
Entity
Organization
Contact information
Practice address
2800 N SHERIDAN RD, SUITE 410, CHICAGO, IL 60657-6156
(773) 880-5080
(773) 880-5084
Mailing address
2800 N SHERIDAN RD, SUITE 410, CHICAGO, IL 60657-6156
(773) 880-5080
(773) 880-5084
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019024883
IL
Other
Enumeration date
06/07/2007
Last updated
05/14/2008
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