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Organization

LOOP DENTAL & SPA

Active
Other names
UNIVERSAL DENTAL
Organization subpart
No

Provider details

NPI number
Authorized official
AHMED RAMAHA DDS (DENTIST/OWNER)
(312) 360-1010
Entity
Organization

Contact information

Practice address
1605 S MICHIGAN AVE, CHICAGO, IL 60616-1209
(312) 360-1010
(312) 496-3546
Mailing address
1605 S MICHIGAN AVE, CHICAGO, IL 60616-1209
(312) 360-1010
(312) 496-3546

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary

Other

Enumeration date
10/08/2012
Last updated
10/08/2012
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