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Organization

DRS. PEARLMAN, KLENETSKY & SIMCOX ORAL & MAXILLOFACIAL SURGERY, LTD.

Active
Other names
DRS. PEARLMAN, KLENETSKY & SIMCOX ORAL & MAXILLOFACIAL SURGERY, LTD.
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ALLAN D. KLENETSKY D.M.D. (PRESIDENT)
(708) 383-8851
Entity
Organization

Contact information

Practice address
1126 WESTGATE ST, OAK PARK, IL 60301-1008
(708) 383-8851
(708) 383-6272
Mailing address
1126 WESTGATE ST, OAK PARK, IL 60301-1008
(708) 383-8851
(708) 383-6272

Taxonomy

Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
21000970
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
215932
PTAN
IL
Enumeration date
02/05/2007
Last updated
04/01/2015
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