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Organization

ALIGN DENTAL GROUP CHICAGO CORP

Active
Other names
Taylor Street Dental
Organization subpart
No

Provider details

NPI number
Authorized official
MOHAMMAD MOEIN AZIMI (OWNER)
(630) 999-9637
Entity
Organization

Contact information

Practice address
1259 W TAYLOR ST, CHICAGO, IL 60607-4708
(312) 226-1537
Mailing address
1730 PARK ST STE 106, NAPERVILLE, IL 60563-2609
(312) 226-1537

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary

Other

Enumeration date
04/11/2023
Last updated
04/12/2023
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