Perfect Dental Smile, Ltd

NPI #1194976282 in Cicero, Illinois

Provider Information

NPI Number: 1194976282
Entity Type: Organization
Organization Name: Perfect Dental Smile, Ltd
Primary Specialty: Dentist
Enumeration Date: Oct 7, 2008
Last Updated: Oct 7, 2008

Practice Location

Address: 6017 W CERMAK RD
City: Cicero
State: Illinois
ZIP Code: 60804-2018
Phone: (708) 652-8466

Authorized Official

Name: DR. BUSHRA AHMED AL AZZAWI, D.D.S.
Title: DENTIST
Phone: (773) 561-2808

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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