Organization
MX DENTAL ASSOCIATES PC
Active
Other names
Alsip Dental Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAZAR S SHUAIPAJ D.D.S. (PRESIDENT)
(708) 489-6222
Entity
Organization
Contact information
Practice address
11808 S PULASKI RD, ALSIP, IL 60803-1608
(708) 489-6222
Mailing address
11808 S PULASKI RD, ALSIP, IL 60803-1608
(708) 489-6222
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
12/15/2015
Last updated
03/29/2023
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