Organization
ADVOCATE DENTAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUBRAIL SWEIS DDS (OWNER)
(773) 610-1041
Entity
Organization
Contact information
Practice address
610 CRYSTAL POINT DR STE 5, CRYSTAL LAKE, IL 60014-1400
(773) 610-1041
Mailing address
610 CRYSTAL POINT DR STE 5, CRYSTAL LAKE, IL 60014-1400
(773) 610-1041
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
02/09/2021
Last updated
02/09/2021
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