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Organization

7011 W ARCHER AVE

Active
Other names
Smile Dental Care
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KHALIL TAKLA D.D.S. (OWNER/DENTIST)
(708) 364-8900
Entity
Organization

Contact information

Practice address
7011 W ARCHER AVE, CHICAGO, IL 60638-2201
(773) 788-9090
Mailing address
7011 W ARCHER AVE, CHICAGO, IL 60638-2201
(773) 788-9090

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
019025077
IL
1223G0001X
General Practice Dentistry
Primary
019025135
IL
1223G0001X
General Practice Dentistry
019027403
IL

Other

Enumeration date
01/20/2011
Last updated
01/20/2011
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