Organization
M-L DENTAL CLINIC INC
Active
Other names
M-L DENTAL OFFICE INC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAAD SALAM HABEEB M. D. (OWNER)
(773) 338-7565
Entity
Organization
Contact information
Practice address
2836 W DEVON AVE, CHICAGO, IL 60659-1513
(773) 338-7565
(773) 338-7565
Mailing address
2836 W DEVON AVE, CHICAGO, IL 60659-1513
(773) 338-7565
(773) 338-7565
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
019021575
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
019021757
—
IL
Enumeration date
06/27/2013
Last updated
06/27/2013
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