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Organization

ALSAHLANI AND ALBAZZAZ DENTAL

Active
Other names
Thomas G.Bleck DDS and Emam J. Alsahlani DMD, LTD
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ABDUL MONIM ALBAZZAZ DMD (DENTIST AND VICE PRESIDENT)
(847) 336-2800
Entity
Organization

Contact information

Practice address
1320 GOLF ROAD, WAUKEGAN, IL 60087-4831
(847) 336-2800
(847) 662-0163
Mailing address
1320 GOLF ROAD, WAUKEGAN, IL 60087-4831
(847) 336-2800
(847) 662-0163

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1223E0200X
Endodontics
1223P0300X
Periodontics

Other

Enumeration date
11/17/2006
Last updated
08/04/2023
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