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Organization
KANNOUT AND ARNOUS PARTNERSHIP
Active
Organization
KANNOUT AND ARNOUS PARTNERSHIP
Active
Other names
PEARL DENTAL
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FAWAZ KANNOUT D.D.S (DENTIST)
(630) 240-1984
Entity
Organization
Contact information
Practice address
4527 N PULASKI RD, CHICAGO, IL 60630-4415
(630) 240-1984
Mailing address
4527 N PULASKI RD, CHICAGO, IL 60630-4415
(630) 240-1984
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
19024870
IL
Other
Enumeration date
07/06/2011
Last updated
07/06/2011
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