Organization
IMAGE DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SINAN RAZZAK DMD (OWNER)
(708) 863-2000
Entity
Organization
Contact information
Practice address
3020 S CICERO AVE, CICERO, IL 60804-3638
(708) 863-2000
Mailing address
3020 S CICERO AVE, CICERO, IL 60804-3638
(708) 863-2000
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019027470
IL
Other
Enumeration date
11/29/2011
Last updated
03/25/2012
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