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Organization
ULTIMATE DENTAL PARTNERS, LLC
Active
Organization
ULTIMATE DENTAL PARTNERS, LLC
Active
Other names
milwaukee dental clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SIBTAIN KERAI DDS (MANAGER/ PARTNER)
(312) 231-7601
Entity
Organization
Contact information
Practice address
4254 N MILWAUKEE AVE, CHICAGO, IL 60641-1643
(773) 282-7906
(773) 427-2740
Mailing address
4254 N MILWAUKEE AVE, CHICAGO, IL 60641-1643
(773) 282-7906
(773) 427-2740
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019026667
IL
Other
Enumeration date
12/23/2017
Last updated
12/23/2017
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