Dental Starz 3 L.l.c | |
1701 N Larkin Ave Suite 504 A Crest Hill IL 60403-1970 | |
(708) 562-5100 | |
Not Available |
Full Name | Dental Starz 3 L.l.c |
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Speciality | Dentist - General Practice |
Location | 1701 N Larkin Ave, Crest Hill, Illinois |
Authorized Official Name and Position | Mohammed Asim (GENERAL DENTIST) |
Authorized Official Contact | 7085625100 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Dental Starz 3 L.l.c 1701 N Larkin Ave Suite 504 A Crest Hill IL 60403-1970 Ph: (708) 562-5100 | Dental Starz 3 L.l.c 1701 N Larkin Ave Suite 504 A Crest Hill IL 60403-1970 Ph: (708) 562-5100 |
NPI Number | 1063862431 |
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Provider Enumeration Date | 06/16/2016 |
Last Update Date | 06/16/2016 |
Identifier | Type | State | Issuer |
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1063862431 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Secondary |
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