| Dental Magic | |
|
5622 W Touhy Ave Niles IL 60714-4001 | |
| (847) 983-4202 | |
| Not Available |
| Full Name | Dental Magic |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 5622 W Touhy Ave, Niles, Illinois |
| Authorized Official Name and Position | Sawsan Asfour (OWNER) |
| Authorized Official Contact | 8479834202 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental Magic 5622 W Touhy Ave Niles IL 60714-4001 Ph: (847) 983-4202 | Dental Magic 5622 W Touhy Ave Niles IL 60714-4001 Ph: (847) 983-4202 |
| NPI Number | 1659729655 |
|---|---|
| Provider Enumeration Date | 05/31/2016 |
| Last Update Date | 05/31/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659729655 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 019024297 (Illinois) | Primary |
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