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Organization
SAM MUDRIK DDS LTD
Active
Organization
SAM MUDRIK DDS LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERESA SANCHEZ (FRONT DESK COORDINATOR)
(847) 520-3020
Entity
Organization
Contact information
Practice address
317 W DUNDEE RD, BUFFALO GROVE, IL 60089-3545
(847) 520-3020
(847) 520-7564
Mailing address
317 W DUNDEE RD, BUFFALO GROVE, IL 60089-3545
(847) 520-3020
(847) 520-7564
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
019.026125
IL
Other
Enumeration date
03/17/2017
Last updated
03/17/2017
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