Organization
EZ DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ABDUL MAJZOUB (BOSS)
(773) 583-4455
Entity
Organization
Contact information
Practice address
5621 W.MONTROSE AVENUE, CHICAGO, IL 60634
(773) 427-1000
Mailing address
5621 W.MONTROSE AVE, CHICAGO, IL 60634
(773) 427-1000
Taxonomy
Speciality
Code
Description
License number
State
292200000X
Dental Laboratory
Primary
019023027
IL
Other
Enumeration date
02/10/2016
Last updated
02/10/2016
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