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Organization
TONGUE N CHIC DENTAL BOUTIQUE
Active
Organization
TONGUE N CHIC DENTAL BOUTIQUE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRANDON FARLEY BECKER DDS (CEO/OWNER)
(847) 841-6665
Entity
Organization
Contact information
Practice address
14 DOUGLAS AVE, ELGIN, IL 60120-5546
(847) 841-6665
(847) 841-6656
Mailing address
14 DOUGLAS AVE, ELGIN, IL 60120-5546
(847) 841-6665
(847) 841-6656
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
124Q00000X
Dental Hygienist
—
—
207N00000X
Dermatology Physician
—
—
Other
Enumeration date
10/17/2008
Last updated
10/17/2008
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