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Organization

B.D.A&H

Active
Other names
Cass family Dental
Organization subpart
No

Provider details

NPI number
Authorized official
DR. BANA AHDAB D.D.S (PRESIDENT)
(630) 737-0791
Entity
Organization

Contact information

Practice address
210 N CASS AVE, #D, WESTMONT, IL 60559-1750
(630) 737-0791
(630) 737-0799
Mailing address
210 N CASS AVE, #D, WESTMONT, IL 60559-1750
(630) 737-0791
(630) 737-0799

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
019025269
IL

Other

Enumeration date
09/09/2008
Last updated
09/09/2008
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