Dr Sam Dmd PC
NPI #1366975419 in South Holland, Illinois
Provider Information
- NPI Number
- 1366975419
- Entity Type
- Organization
- Organization Name
- Dr Sam Dmd PC
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Apr 6, 2017
- Last Updated
- Apr 6, 2017
Practice Location
- Address
- 1022 E 162ND ST
- City
- South Holland
- State
- Illinois
- ZIP Code
- 60473-2560
- Phone
- (312) 493-6089
Authorized Official
- Name
- SAMUEL OSOBU
- Title
- PRESIDENT
- Phone
- (312) 493-6089
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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