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Organization

PERFECT SMILE P. C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SALMAAN POOTHAWALA DDS (PRESIDENT)
(847) 208-6558
Entity
Organization

Contact information

Practice address
6422 NORTH WESTERN AVE, CHICAGO, IL 60659
(847) 208-6558
(773) 362-1001
Mailing address
6422 NORTH WESTERN AVE, CHICAGO, IL 60659
(847) 208-6558
(773) 362-1001

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
019026329
IL

Other

Enumeration date
11/25/2009
Last updated
11/25/2009
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