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Organization
SOKOLOV DENTAL LTD, DBA HOLLYWOOD SMILE, LTD
Active
Organization
SOKOLOV DENTAL LTD, DBA HOLLYWOOD SMILE, LTD
Active
Other names
Hollywood Smile Ltd
Organization subpart
No
Provider details
NPI number
Authorized official
INNA SOKOLOV DMD (PRESIDENT)
(773) 370-1900
Entity
Organization
Contact information
Practice address
6439 N CICERO AVE, LINCOLNWOOD, IL 60712-3407
(773) 316-7816
Mailing address
6439 N CICERO AVE, LINCOLNWOOD, IL 60712-3407
(773) 316-7816
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1235781956
—
IL
Enumeration date
05/27/2021
Last updated
05/27/2021
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