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Organization
RANDOLPH DENTAL INC
Active
Organization
RANDOLPH DENTAL INC
Active
Other names
Millennium Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NAWAR ALNOMAN DDS (PRESIDENT)
(312) 767-0407
Entity
Organization
Contact information
Practice address
1342 W RANDOLPH ST, CHICAGO, IL 60607-1526
(312) 767-0407
Mailing address
1342 W RANDOLPH ST, CHICAGO, IL 60607-1526
(312) 767-0407
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
10/30/2019
Last updated
10/30/2019
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