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Organization
DENTALAVEINC
Active
Organization
DENTALAVEINC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAGDI IBRAHIM DMD (DOCTOR)
(708) 737-5457
Entity
Organization
Contact information
Practice address
7608 W 95TH ST, HICKORY HILLS, IL 60457-2203
(708) 737-5459
Mailing address
7608 W 95TH ST, HICKORY HILLS, IL 60457-2203
(708) 737-5459
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
—
—
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
10/02/2023
Last updated
02/27/2024
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