Organization
HERMOSA DENTAL CLINIC
Active
Other names
Dr Sabah H Khalifa DDS PC
Organization subpart
No
Provider details
NPI number
Authorized official
SABAH H KHALIFA DDS (OWNER)
(773) 342-5923
Entity
Organization
Contact information
Practice address
2004 N PULASKI RD, CHICAGO, IL 60639
(773) 342-5923
(773) 342-0835
Mailing address
2004 N PULASKI RD, CHICAGO, IL 60639
(773) 342-5923
(773) 342-0835
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1915779
IL
Other
Enumeration date
11/02/2005
Last updated
08/22/2020
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