Organization
PARK DENTAL STUDIOS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HUSSAIN ALI DDS (MANAGER)
(224) 366-0498
Entity
Organization
Contact information
Practice address
4408 W LAWRENCE AVE, CHICAGO, IL 60630-2511
(224) 366-0498
Mailing address
4408 W LAWRENCE AVE, CHICAGO, IL 60630-2511
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
08/23/2019
Last updated
08/23/2019
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