Organization
FREEPORT FAMILY DENTAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAHMOUD SALAMEH (MANAGER)
(708) 543-0089
Entity
Organization
Contact information
Practice address
981 W SOUTH ST, FREEPORT, IL 61032-6778
(815) 235-5174
Mailing address
981 W SOUTH ST, FREEPORT, IL 61032-6778
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
03/27/2022
Last updated
03/27/2022
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