Organization
RANDOLPH DENTAL INC
Active
Other names
Millennium Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NAWAR ALNOMAN DDS (PRESIDENT)
(312) 767-0407
Entity
Organization
Contact information
Practice address
1342 W RANDOLPH ST, CHICAGO, IL 60607-1526
(312) 767-0407
Mailing address
1342 W RANDOLPH ST, CHICAGO, IL 60607-1526
(312) 767-0407
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
10/30/2019
Last updated
10/30/2019
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