Organization
MAGNIFICENT MILE FAMILY DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OLAITAN OKEDIJI DDS (OWNER/ GENERAL DENTIST)
(312) 280-0034
Entity
Organization
Contact information
Practice address
233 E ERIE ST, SUITE 210, CHICAGO, IL 60611-2926
(312) 280-0034
(312) 280-7768
Mailing address
233 E ERIE ST, SUITE 210, CHICAGO, IL 60611-2926
(312) 280-0034
(312) 280-7768
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
09/19/2013
Last updated
09/19/2013
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