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Organization
SHEILA M. VACENDAK, DDS, PC
Active
Organization
SHEILA M. VACENDAK, DDS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHEILA M. VACENDAK DDS (PRESIDENT)
(312) 402-6231
Entity
Organization
Contact information
Practice address
6056 159TH ST, OAK FOREST, IL 60452-2904
(708) 687-6100
Mailing address
340 E RANDOLPH ST STE 1304, CHICAGO, IL 60601-7314
(312) 402-6231
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
IL
Other
Enumeration date
09/13/2007
Last updated
09/26/2007
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