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Organization
DENTISTRY ON ORCHARD LLC
Active
Organization
DENTISTRY ON ORCHARD LLC
Active
Other names
DENTISTRY ON ORCHARD LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MUSTAFA ALKHAWAJA (OWNER)
(630) 863-2643
Entity
Organization
Contact information
Practice address
1061 W ORCHARD RD, NORTH AURORA, IL 60542-1677
(630) 410-9614
Mailing address
1061 W ORCHARD RD, NORTH AURORA, IL 60542-1677
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
09/05/2019
Last updated
09/05/2019
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