Organization
CENTRAL AMAZING DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AHMED RAMAHA DDS (OWNER)
(708) 394-5100
Entity
Organization
Contact information
Practice address
5501 W 79TH ST STE 201, BURBANK, IL 60459-1796
(708) 424-5901
(708) 424-5901
Mailing address
5501 W 79TH ST STE 302, BURBANK, IL 60459-2185
(708) 394-5100
(708) 907-3165
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
04/25/2019
Last updated
08/09/2019
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