Organization
CERMAK DENTAL ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SIBTAIN KERAI DDS (MANAGER)
(312) 231-7601
Entity
Organization
Contact information
Practice address
1950 W CERMAK RD, CHICAGO, IL 60608-4204
(773) 376-2777
Mailing address
1950 W CERMAK RD, CHICAGO, IL 60608-4204
(773) 376-2777
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
01/06/2019
Last updated
01/06/2019
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