Organization
PALATINE SONRISA DENTAL P.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MOEEN IKRAM (PRESIDENT)
(773) 398-5822
Entity
Organization
Contact information
Practice address
1198 E DUNDEE RD, PALATINE, IL 60074-8305
(773) 398-5822
(630) 428-2182
Mailing address
1198 E DUNDEE RD, PALATINE, IL 60074-2323
(773) 398-5822
(630) 428-2182
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019026480
IL
Other
Enumeration date
07/10/2015
Last updated
07/10/2015
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