Organization
COSMO DENTAL
Active
Other names
Cosmo Dental LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOHAMMED ABDUL HAQ DDS (ASSOCIATE)
(847) 262-1081
Entity
Organization
Contact information
Practice address
159 E NORTH AVE, NORTHLAKE, IL 60164-2523
(708) 345-6313
Mailing address
159 E NORTH AVE, NORTHLAKE, IL 60164-2523
(708) 345-6313
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/21/2025
Last updated
10/21/2025
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