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General NPI Number Information
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NPI Number | 1760587448
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Entity Type | Organization
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Legal Business Name | DENTAL COMFORT,LTD
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Dates
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Enumeration Date | 09/14/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 4239 S. ARCHER AVE.
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City | CHICAGO
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State | IL
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Zip | 60632
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Country | US
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Telephone | 773-523-7525
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Fax | 773-523-0609
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Provider Business Mailing Address
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Address Line | 4239 S. ARCHER AVE.
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City | CHICAGO
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State | IL
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Zip | 60632
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Country | US
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Telephone | 773-523-7525
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Fax | 773-523-0609
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MIRA M ISKANDAR
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Credential | DDS
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Telephone | 773-523-7525
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 124Q00000X
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Taxonomy Name | Dental Hygienist
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License Number | 124Q00000X
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License Number State | IL
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Taxonomy #2
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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 | IL
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Taxonomy #3
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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 | IL
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Taxonomy #4
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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 | IL
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Taxonomy #5
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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 | IL
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