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Organization

PERFECT DENTAL SMILE, LTD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. BUSHRA AHMED AL AZZAWI D.D.S. (DENTIST)
(773) 561-2808
Entity
Organization

Contact information

Practice address
6017 W CERMAK RD, CICERO, IL 60804-2018
(708) 652-8466
(708) 652-8994
Mailing address
6017 W CERMAK RD, CICERO, IL 60804-2018
(708) 652-8466
(708) 652-8994

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019024872
IL

Other

Enumeration date
10/07/2008
Last updated
10/07/2008
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