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Organization

DENTAL MAGIC OF NILES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. HICHAM K RIBA DDS (OWNER)
(773) 360-1281
Entity
Organization

Contact information

Practice address
5622 W TOUHY AVE, NILES, IL 60714-4001
(773) 360-1281
(773) 360-1285
Mailing address
5622 W TOUHY AVE, NILES, IL 60714-4001
(773) 360-1281
(773) 360-1285

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019024373
IL

Other

Enumeration date
04/27/2012
Last updated
04/27/2012
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