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Organization

HORIZON CENTER FOR PROGRESSIVE DENTISTRY P. C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. PAUL SANIUK D.D.S. (PRESIDENT)
(773) 509-0029
Entity
Organization

Contact information

Practice address
6314 N LINCOLN AVE, CHICAGO, IL 60659-1204
(773) 509-0029
(773) 509-0733
Mailing address
6314 N LINCOLN AVE, CHICAGO, IL 60659-1204
(773) 509-0029
(773) 509-0733

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019017944
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
019017944
LICENSED DENTIST
IL
01
1073655213
INDIVIDUAL NPI
IL
Enumeration date
05/26/2011
Last updated
11/02/2014
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