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Organization
THE CENTER FOR DENTAL EXCELLENCE, LLC
Active
Organization
THE CENTER FOR DENTAL EXCELLENCE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES J GREENEBAUM DDS (DOCTOR)
(708) 647-6453
Entity
Organization
Contact information
Practice address
19615 GOVERNORS HWY, FLOSSMOOR, IL 60422-2037
(708) 647-6453
Mailing address
19615 GOVERNORS HWY, FLOSSMOOR, IL 60422-2037
(708) 647-6453
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
08/14/2008
Last updated
08/14/2008
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