Organization
DENTAL MAGIC TOUHY, INC
Active
Other names
Dental Magic
Organization subpart
No
Provider details
NPI number
Authorized official
SAWSAN ASFOUR (OWNER)
(847) 983-4202
Entity
Organization
Contact information
Practice address
5622 W TOUHY AVE, NILES, IL 60714-4001
(847) 983-4202
Mailing address
5622 W TOUHY AVE, NILES, IL 60714-4001
(847) 983-4202
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019024297
IL
Other
Enumeration date
05/31/2016
Last updated
05/31/2016
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