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Organization
FAMILY DENTAL OF PARK RIDGE PLLC
Active
Organization
FAMILY DENTAL OF PARK RIDGE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NIDAL OBEID DDS (PRESIDENT)
(773) 679-2421
Entity
Organization
Contact information
Practice address
5399 N MILWAUKEE AVE, CHICAGO, IL 60630-1251
(773) 763-1000
Mailing address
2817 CENTRAL RD, GLENVIEW, IL 60025-4129
(773) 679-2419
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
08/02/2024
Last updated
12/03/2024
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