Organization
PERFECT DENTAL SMILE, LTD.
Active
Parent organization
PERFECT DENTAL SMILE, LTS.
Organization subpart
Yes
Provider details
NPI number
Legal business name
PERFECT DENTAL SMILE, LTS.
Authorized official
DR. BUSHRA AHMED AL AZZAWI D.D.S. (DENTIST)
(773) 561-2808
Entity
Organization
Contact information
Practice address
2545 W PETERSON AVE, SUITE 201, CHICAGO, IL 60659-4091
(773) 561-2808
(773) 561-2809
Mailing address
2545 W PETERSON AVE, SUITE 201, CHICAGO, IL 60659-4091
(773) 561-2808
(773) 561-2809
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019024872
IL
Other
Enumeration date
10/02/2008
Last updated
11/10/2009
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