Organization
DR.IMTIAZ AHMED,PC
Active
Other names
Hana Dental Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOHAMMED SHARAFATULLAH SAYEED DDS (PRESIDENT)
(773) 921-1103
Entity
Organization
Contact information
Practice address
4807 W MADISON ST, CHICAGO, IL 60644-3640
(773) 921-1103
(773) 261-1013
Mailing address
4807 W MADISON ST, CHICAGO, IL 60644-3640
(773) 921-1103
(773) 261-1013
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
IL
Other
Enumeration date
04/16/2008
Last updated
04/16/2008
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