Organization
ALL PERFECT SMILES OF BEVERLY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OSCAR G GONZALEZ DDS (DIRECTOR OF OPERATIONS)
(219) 465-8627
Entity
Organization
Contact information
Practice address
10601 S WESTERN AVE, CHICAGO, IL 60643-3100
(219) 465-8627
Mailing address
10601 S WESTERN AVE, CHICAGO, IL 60643-3100
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
02/07/2018
Last updated
08/20/2020
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