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Organization
TAYSEER A IBRAHIM DDS PC
Active
Organization
TAYSEER A IBRAHIM DDS PC
Active
Other names
WADSWORTH DENTAL
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TAYSEER AHMED IBRAHIM DDS (PRESIDENT)
(847) 872-5530
Entity
Organization
Contact information
Practice address
11316 W WADSWORTH RD, BEACH PARK, IL 60099-3367
(847) 872-5530
(847) 872-1683
Mailing address
11316 W WADSWORTH RD, BEACH PARK, IL 60099-3367
(847) 872-5530
(847) 872-1683
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
01925457
IL
Other
Enumeration date
04/19/2007
Last updated
01/22/2021
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