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Organization

D&D DENTAL,LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
AHMED M HEGAZY DMD (PRESIDENT)
(720) 608-3010
Entity
Organization

Contact information

Practice address
3902 HARLEM AVE, LYONS, IL 60534-1208
(708) 442-1900
Mailing address
3902 HARLEM AVE, LYONS, IL 60534-1208
(708) 442-1900

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
261QD0000X
Dental Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1346301462
IL
05
1487211694
IL
Enumeration date
06/04/2021
Last updated
05/07/2026
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