Organization
ALL PERFECT SMILES OF BEVERLY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OSCAR G GONZALEZ (DIRECTOR OF OPERATIONS)
(219) 465-8627
Entity
Organization
Contact information
Practice address
10601 S WESTERN AVE, CHICAGO, IL 60643-3100
(773) 238-3200
Mailing address
10601 S WESTERN AVE, CHICAGO, IL 60643-3100
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
—
—
Other
Enumeration date
01/15/2018
Last updated
08/20/2020
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