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Organization
VDC CICERO CORP
Active
Organization
VDC CICERO CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ESAM JUMANI DDS (OWNER)
(917) 544-1626
Entity
Organization
Contact information
Practice address
3320 S CICERO AVE, CICERO, IL 60804-4531
(917) 544-1626
Mailing address
3320 S CICERO AVE, CICERO, IL 60804-4531
(917) 544-1626
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
261QD0000X
Dental Clinic/Center
—
—
Other
Enumeration date
11/06/2018
Last updated
04/09/2025
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