Organization
JENIN DENTAL CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AHMED MASSAD DDS (DOCTOR)
(708) 916-2406
Entity
Organization
Contact information
Practice address
3939 W FULLERTON AVE, CHICAGO, IL 60647-2243
(773) 235-0000
Mailing address
500 N LAKE SHORE DR APT 3804, CHICAGO, IL 60611-5157
(708) 916-2406
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
07/21/2021
Last updated
07/21/2021
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