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Organization
SOUTH HOLLAND DENTAL PC
Active
Organization
SOUTH HOLLAND DENTAL PC
Active
Parent organization
METROSMILES - CICERO DENTAL, P.C
Other names
Metro Smiles - Dolton
Organization subpart
Yes
Provider details
NPI number
Legal business name
METROSMILES - CICERO DENTAL, P.C
Authorized official
DR. CHRIS TSALIAGOS (PRESIDENT)
(708) 499-0100
Entity
Organization
Contact information
Practice address
808 E SIBLEY BLVD, DOLTON, IL 60419-2130
(708) 499-0100
Mailing address
4842 W CERMAK RD, CICERO, IL 60804-2531
(708) 222-8302
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
IL
Other
Enumeration date
04/25/2014
Last updated
08/11/2014
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