Organization
IRVING PARK DENTISTRY, INC.
Active
Other names
zayzafoon dental care, inc
Organization subpart
No
Provider details
NPI number
Authorized official
NADA ZAYZAFOON DMD (OWNER)
(312) 919-6266
Entity
Organization
Contact information
Practice address
1933 W IRVING PARK RD, CHICAGO, IL 60613-5180
(312) 919-6266
Mailing address
1933 W IRVING PARK RD, CHICAGO, IL 60613-5180
(312) 919-6266
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
01/07/2011
Last updated
01/07/2011
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