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Organization
S&P DENTAL LLC
Active
Organization
S&P DENTAL LLC
Active
Other names
CICERO SMILE DENTAL
Organization subpart
No
Provider details
NPI number
Authorized official
PARTH PATEL D.M.D (OWNER)
(708) 381-9652
Entity
Organization
Contact information
Practice address
2319 S CICERO AVE, CICERO, IL 60804-2451
(908) 265-2986
Mailing address
2319 S CICERO AVE, CICERO, IL 60804-2451
(708) 477-4729
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
11/12/2019
Last updated
05/09/2022
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