Dental Starz 3 L.l.c
NPI #1063862431 in Crest Hill, Illinois
Provider Information
- NPI Number
- 1063862431
- Entity Type
- Organization
- Organization Name
- Dental Starz 3 L.l.c
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jun 16, 2016
- Last Updated
- Jun 16, 2016
Practice Location
- Address
- 1701 N LARKIN AVE
- Address 2
- SUITE 504 A
- City
- Crest Hill
- State
- Illinois
- ZIP Code
- 60403-1970
- Phone
- (708) 562-5100
Authorized Official
- Name
- DR. MOHAMMED ASIM, D.D.S
- Title
- GENERAL DENTIST
- Phone
- (708) 562-5100
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Orthodontics and Dentofacial Orthopedics — Orthodontics and Dentofacial Orthopedics |
| Dentist - General Practice — General Practice |
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