Organization
ALEXANDRA SALES DMD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXANDRA SALES DMD (OWNER)
(623) 694-8674
Entity
Organization
Contact information
Practice address
1259 S WABASH AVE, CHICAGO, IL 60605-2412
(623) 694-8674
Mailing address
2045 W CONCORD PL APT 506, CHICAGO, IL 60647-5640
(623) 694-8674
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
07/31/2019
Last updated
07/31/2019
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