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Organization
STONE PARK DENTAL INC
Active
Organization
STONE PARK DENTAL INC
Active
Other names
UNIVERSAL DENTAL
Organization subpart
No
Provider details
NPI number
Authorized official
AHMED RAMAHA DDS (DENTIST)
(708) 338-4444
Entity
Organization
Contact information
Practice address
1550 N MANNHEIM RD, STONE PARK, IL 60165-1300
(708) 338-4444
(708) 338-4448
Mailing address
1550 N MANNHEIM RD, STONE PARK, IL 60165-1300
(708) 338-4444
(708) 338-4448
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
019027035
IL
1223G0001X
General Practice Dentistry
Primary
019027051
IL
1223G0001X
General Practice Dentistry
019027644
IL
Other
Enumeration date
09/19/2008
Last updated
09/19/2008
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