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Organization
HEALTHY SMILES OF LA GRANGE, PC
Active
Organization
HEALTHY SMILES OF LA GRANGE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ISAAC A QURESHI DDS (GENERAL DENTIST)
(708) 482-4420
Entity
Organization
Contact information
Practice address
1400 W 47TH ST, UNIT 7, LA GRANGE, IL 60525-6141
(708) 482-4420
Mailing address
1400 W 47TH ST, UNIT 7, LA GRANGE, IL 60525-6141
(708) 482-4420
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
019029531
IL
Other
Enumeration date
03/23/2015
Last updated
03/23/2015
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