Organization
BEDFORD DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SINAN RAZZAK DMD (PRESIDENT)
(312) 810-2948
Entity
Organization
Contact information
Practice address
7250 S CICERO AVE, CHICAGO, IL 60629-5849
(312) 810-2948
Mailing address
7250 S CICERO AVE, CHICAGO, IL 60629-5849
(312) 810-2948
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019027470
IL
Other
Enumeration date
10/11/2012
Last updated
10/11/2012
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