Organization
VENUS DE MILO DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. REEM M OBAISI DDS (DENTIST)
(773) 588-9200
Entity
Organization
Contact information
Practice address
3334 W PETERSON AVE, LOWER LEVEL, CHICAGO, IL 60659-3505
(773) 588-9200
(773) 588-9201
Mailing address
3334 W PETERSON AVE, LOWER LEVEL, CHICAGO, IL 60659-3505
(773) 588-9200
(773) 588-9201
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
019027619
IL
Other
Enumeration date
01/24/2013
Last updated
01/24/2013
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