Dental Magic Of Niles | |
5622 W Touhy Ave Niles IL 60714-4001 | |
(773) 360-1281 | |
(773) 360-1285 |
Full Name | Dental Magic Of Niles |
---|---|
Speciality | Dentist - General Practice |
Location | 5622 W Touhy Ave, Niles, Illinois |
Authorized Official Name and Position | Hicham K Riba (OWNER) |
Authorized Official Contact | 7733601281 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Dental Magic Of Niles 5622 W Touhy Ave Niles IL 60714-4001 Ph: (773) 360-1281 | Dental Magic Of Niles 5622 W Touhy Ave Niles IL 60714-4001 Ph: (773) 360-1281 |
NPI Number | 1417215484 |
---|---|
Provider Enumeration Date | 04/27/2012 |
Last Update Date | 04/27/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1417215484 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 019024373 (Illinois) | Primary |
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