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Organization
TAYSEER A IBRAHIM DDS PC
Active
Organization
TAYSEER A IBRAHIM DDS PC
Active
Other names
GRAND YEOMAN PARK DENTAL CARE
Organization subpart
No
Provider details
NPI number
Authorized official
TAYSEER AHMED IBRAHIM DDS (PRESIDENT)
(847) 872-5530
Entity
Organization
Contact information
Practice address
11316 W WADSWORTH RD STE 101, BEACH PARK, IL 60099-3367
(847) 872-5530
(847) 872-1683
Mailing address
11316 W WADSWORTH RD STE 101, BEACH PARK, IL 60099-3367
(847) 872-5530
(847) 872-1683
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
19-025457
IL
Other
Enumeration date
10/19/2005
Last updated
09/02/2025
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