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Organization
PRISTINE FAMILY DENTAL
Active
Organization
PRISTINE FAMILY DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANJUM ZAHEER KHAN DDS (PRESIDENT)
(773) 816-2595
Entity
Organization
Contact information
Practice address
384 S WEBER RD, ROMEOVILLE, IL 60446-6521
(815) 609-1600
Mailing address
384 S WEBER RD, ROMEOVILLE, IL 60446-6521
(815) 609-1600
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019026952
IL
Other
Enumeration date
07/17/2011
Last updated
07/17/2011
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