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General NPI Number Information
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NPI Number | 1922156686
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Entity Type | Organization
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Legal Business Name | BURTON S TUREK DDS AND ALLEN D BAGDADE DDS LTD
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Dates
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Enumeration Date | 01/08/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 15 S DRYDEN PL 102
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City | ARLINGTON HTS
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State | IL
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Zip | 60004-6369
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Country | US
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Telephone | 847-392-5842
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Fax | 847-392-5848
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Provider Business Mailing Address
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Address Line | 15 S DRYDEN PL 102
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City | ARLINGTON HTS
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State | IL
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Zip | 60004-6369
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Country | US
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Telephone | 847-392-5842
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Fax | 847-392-5848
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Authorized Official
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Title or Position | SECY
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Name | DR. BURTON S TUREK
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Credential | D.D.S
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Telephone | 847-392-5842
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number |
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number |
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License Number State | IL
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