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Organization
THEODORE M. SIEGEL D.D.S., P.C.
Active
Organization
THEODORE M. SIEGEL D.D.S., P.C.
Active
Other names
Big Smile Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THEODORE MICHAEL SIEGEL D.D.S. (PRESIDENT)
(773) 772-8400
Entity
Organization
Contact information
Practice address
2833 N MILWAUKEE AVE, CHICAGO, IL 60618-7403
(773) 772-8400
Mailing address
2833 N MILWAUKEE AVE, CHICAGO, IL 60618-7403
(773) 772-8400
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
05/02/2008
Last updated
05/02/2008
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