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Organization
THE DENTAL CLINIC, LLC
Active
Organization
THE DENTAL CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMEERA HUSSAIN DMD (OWNER/DENTIST)
(630) 750-1405
Entity
Organization
Contact information
Practice address
3210 W 63RD ST, CHICAGO, IL 60629-3325
(773) 776-8300
Mailing address
3210 W 63RD ST, CHICAGO, IL 60629-3325
(773) 776-8300
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
IL
Other
Enumeration date
03/18/2008
Last updated
03/18/2008
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