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Organization

ALAYNA CORDEN DMD, MS, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ALAYNA CORDEN DMD, MS (OWNER)
(248) 910-2194
Entity
Organization

Contact information

Practice address
10258 SOUTHWEST HWY STE C, CHICAGO RIDGE, IL 60415-1361
(708) 576-8442
Mailing address
2323 N LEAVITT ST APT 201, CHICAGO, IL 60647-6805
(248) 910-2194

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
019030838
IL
261QD0000X
Dental Clinic/Center
Primary
021002770
IL
261QD0000X
Dental Clinic/Center
319020139
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1538566328
IL
Enumeration date
08/25/2017
Last updated
05/03/2024
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