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
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 - DentalDental

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