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Organization

DENTALAVEINC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MAGDI IBRAHIM DMD (DOCTOR)
(708) 737-5457
Entity
Organization

Contact information

Practice address
7608 W 95TH ST, HICKORY HILLS, IL 60457-2203
(708) 737-5459
Mailing address
7608 W 95TH ST, HICKORY HILLS, IL 60457-2203
(708) 737-5459

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
261QD0000X
Dental Clinic/Center
Primary

Other

Enumeration date
10/02/2023
Last updated
02/27/2024
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