institution
Dr Sam Dmd Pc
Dental Clinic/Center in South Holland, Illinois
NPI 1366975419

Dr Sam Dmd Pc is a Dental Clinic/Center based in Chicago, IL and is specialized in Dental. Dr Sam Dmd Pc practices in South Holland, IL. The NPI Number for Dr Sam Dmd Pc is 1366975419 and holds a License No. 019030498 (Illinois).

The current practice location address for Dr Sam Dmd Pc is 1022 E 162Nd St, South Holland, IL and can be reached out via phone at 312-493-6089.

Location: 1022 E 162Nd St, South Holland, IL, 60612-2346
institution
Provider Profile Details
NPI Number
1366975419
Provider Name
Dr Sam Dmd Pc
Credential
Provider Entity Type
Organization
Address
1022 E 162Nd St, South Holland, IL, 60612-2346
Phone Number
312-493-6089
Fax Number
Provider Enumeration Date
04/06/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1022 E 162Nd St
City
State
Zip
60473-2560
Phone Number
312-493-6089
Fax Number
person
Provider Business Mailing Address Details
Address
1022 E 162Nd St
City
State
Zip
60473-2560
Phone Number
312-493-6089
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
License No.
019030498 (Illinois)
Definition
Definition to come...
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