| Perfect Dental Smile, Ltd | |
|
6017 W Cermak Rd Cicero IL 60804-2018 | |
| (708) 652-8466 | |
| (708) 652-8994 |
| Full Name | Perfect Dental Smile, Ltd |
|---|---|
| Speciality | Dentist |
| Location | 6017 W Cermak Rd, Cicero, Illinois |
| Authorized Official Name and Position | Bushra Ahmed Al Azzawi (DENTIST) |
| Authorized Official Contact | 7735612808 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Perfect Dental Smile, Ltd 6017 W Cermak Rd Cicero IL 60804-2018 Ph: (708) 652-8466 | Perfect Dental Smile, Ltd 6017 W Cermak Rd Cicero IL 60804-2018 Ph: (708) 652-8466 |
| NPI Number | 1194976282 |
|---|---|
| Provider Enumeration Date | 10/07/2008 |
| Last Update Date | 10/07/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194976282 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 019024872 (Illinois) | Primary |
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