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Organization
SAHLOUL DENTAL, LLC
Active
Organization
SAHLOUL DENTAL, LLC
Active
Other names
Confident Smiles Dental Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MONA MANN (CREDENTIALING MANAGER)
(630) 697-8105
Entity
Organization
Contact information
Practice address
9830 RIDGELAND AVE STE 5, CHICAGO RIDGE, IL 60415-2668
(708) 636-6424
Mailing address
9830 RIDGELAND AVE STE 5, CHICAGO RIDGE, IL 60415-2668
(708) 636-6424
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100088321
—
WI
Enumeration date
01/18/2021
Last updated
01/18/2021
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