Organization
AMM LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAULL C GOSSETT DDS (OWNER (PRESIDENT))
(708) 354-0835
Entity
Organization
Contact information
Practice address
7045 VETERANS BLVD, A-1, BURR RIDGE, IL 60528-5605
(708) 354-0835
(630) 325-5176
Mailing address
7045 VETERANS BLVD, A-1, BURR RIDGE, IL 60528-5605
(708) 354-0835
(630) 325-5176
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019018250
IL
122300000X
Dentist
019027081
IL
Other
Enumeration date
03/06/2007
Last updated
09/02/2008
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