Organization
DENTAL IMPLANT & COSMETIC CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANAA DOWIER (PRESIDENT)
(708) 867-8655
Entity
Organization
Contact information
Practice address
4740 N HARLEM AVE, HARWOOD HEIGHTS, IL 60706-4607
(708) 867-8655
Mailing address
4740 N HARLEM AVE, HARWOOD HEIGHTS, IL 60706-4607
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
12/06/2019
Last updated
12/06/2019
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