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General NPI Number Information
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NPI Number | 1588547889
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Entity Type | Organization
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Legal Business Name | SNAP DENTAL INC
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Dates
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Enumeration Date | 07/26/2025
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Last Update Date | 12/04/2025
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Provider Practice Location Address
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Address Line | 850 W 63RD ST STE B
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City | CHICAGO
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State | IL
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Zip | 60621-1902
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Country | US
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Telephone | 773-312-5510
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Fax | 773-312-5520
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Provider Business Mailing Address
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Address Line | 850 W 63RD ST STE B
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City | CHICAGO
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State | IL
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Zip | 60621-1902
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Country | US
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Telephone | 773-312-5510
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Fax | 773-312-5520
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Authorized Official
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Title or Position | DENTIST (OWNER)
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Name | NASER ABDELSALAM
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Credential | DMD
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Telephone | 773-312-5510
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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