Organization
DENTAL MAGIC NORTH AVE, INC
Active
Other names
Dental Magic
Organization subpart
No
Provider details
NPI number
Authorized official
SAWSAN ASFOUR DDS (OWNER)
(773) 360-1281
Entity
Organization
Contact information
Practice address
2500 W NORTH AVE, CHICAGO, IL 60647-5202
(773) 360-1281
(773) 360-1285
Mailing address
2500 W NORTH AVE, CHICAGO, IL 60647-5202
(773) 360-1281
(773) 360-1285
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019024297
IL
Other
Enumeration date
05/31/2016
Last updated
05/31/2016
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