# SOFLISA AZ LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Wellness Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1821939885
- **Authorized official:** DUAA HAMOUD DMD (OWNER/ DENTIST)
- **Authorized official phone:** (708) 940-6190

## Contact information

- **Practice address:** 6288 E GRANT RD, TUCSON, AZ 85712-5831
- **Practice address phone:** (520) 214-2484
- **Mailing address:** 10741 165TH ST, ORLAND PARK, IL 60467-8713
- **Mailing address phone:** (708) 940-6190
- **Mailing address fax:** (708) 364-2010

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 04/03/2026
- **Last updated:** 04/08/2026
