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Organization
SWEET TOOTH ODONTOLOGA LLC
Active
Organization
SWEET TOOTH ODONTOLOGA LLC
Active
Other names
Archer Heights Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA VILLAFANE DMD (OWNER)
(630) 532-0207
Entity
Organization
Contact information
Practice address
4732 S PULASKI RD, CHICAGO, IL 60632-4114
(773) 376-1111
Mailing address
200 W PARKVIEW DR, ADDISON, IL 60101-3727
(630) 532-0207
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
11/12/2021
Last updated
11/12/2021
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