Organization
DENTAL STARZ, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ILYAS MOHAMMED AHMED D.D.S. (OWNER)
(630) 290-2023
Entity
Organization
Contact information
Practice address
2121 S WOLF RD APT 412, HILLSIDE, IL 60162-2144
(630) 290-2023
Mailing address
75 W NORTH AVE # 400, NORTHLAKE, IL 60164-2306
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
019-026721
IL
Other
Enumeration date
05/23/2008
Last updated
05/23/2008
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