Organization
DR SAM DENTAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL OSOBU DMD (PRESIDENT)
(312) 493-6089
Entity
Organization
Contact information
Practice address
3111 W ARMITAGE AVE, CHICAGO, IL 60647-3818
(773) 342-8493
Mailing address
2315 W HARRISON ST APT 2, CHICAGO, IL 60612-3578
(312) 493-6089
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019030498
IL
Other
Enumeration date
08/17/2018
Last updated
08/17/2018
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