Organization
FAMILY DENTAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GHASSAN FATHI ABDALLAH DMD (DENTIST)
(708) 599-8122
Entity
Organization
Contact information
Practice address
8715 RIDGELAND AVE, OAK LAWN, IL 60453-1001
(708) 599-8122
Mailing address
8715 RIDGELAND AVE, OAK LAWN, IL 60453-1001
(708) 599-8122
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
IL
Other
Enumeration date
04/08/2008
Last updated
04/08/2008
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