Organization
CARL M. KHALID
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARL M KHALID DDS (GENERAL DENTIST)
(773) 465-8901
Entity
Organization
Contact information
Practice address
2054 W DEVON AVE, CHICAGO, IL 60659-2128
(773) 465-8901
Mailing address
2054 W DEVON AVE, CHICAGO, IL 60659-2128
(773) 465-8901
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019018963
IL
Other
Enumeration date
04/07/2015
Last updated
04/07/2015
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