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Organization

LARAMIE DENTAL

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ANITA SHAHIN DDS (OWNER)
(773) 334-4200
Entity
Organization

Contact information

Practice address
2556 N LARAMIE, CHICAGO, IL 60639
(773) 889-3333
(773) 889-3336
Mailing address
1700 W FOSTER, CHICAGO, IL 60640
(773) 334-4200
(773) 334-4532

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
01924538
IL

Other

Enumeration date
06/13/2007
Last updated
08/22/2020
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