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Organization

OGANDO DDS LLC

Active
Parent organization
OGANDO DDS LLC
Other names
West Town Dental Care
Organization subpart
Yes

Provider details

NPI number
Legal business name
OGANDO DDS LLC
Authorized official
MR. JOSE KHALIFA (ADMIN)
(773) 252-5772
Entity
Organization

Contact information

Practice address
1229 N ASHLAND AVE, CHICAGO, IL 60622-2204
(773) 252-5772
(773) 278-0543
Mailing address
1229 N ASHLAND AVE, CHICAGO, IL 60622-2204
(773) 252-5772
(773) 278-0543

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary

Other

Enumeration date
05/31/2022
Last updated
05/31/2022
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