Organization
ALIGN DENTAL GROUP PC.
Active
Other names
Douglas Dental Center
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMMAD MOEIN AZIMI (OWNER)
(630) 999-9637
Entity
Organization
Contact information
Practice address
2605 GRAND AVE STE A, WAUKEGAN, IL 60085-2410
(847) 244-7779
(847) 244-7778
Mailing address
2605 GRAND AVE STE A, WAUKEGAN, IL 60085-2410
(847) 244-7779
(847) 244-7778
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
11/06/2020
Last updated
11/06/2020
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