Organization
KANNOUT AND ARNOUS PARTNERSHIP
Active
Other names
PEARL DENTAL
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FAWAZ KANNOUT D.D.S (DENTIST)
(630) 240-1984
Entity
Organization
Contact information
Practice address
4527 N PULASKI RD, CHICAGO, IL 60630-4415
(630) 240-1984
Mailing address
4527 N PULASKI RD, CHICAGO, IL 60630-4415
(630) 240-1984
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
19024870
IL
Other
Enumeration date
07/06/2011
Last updated
07/06/2011
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