Organization
HYDE PARK AMAZING DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AHMED RAMAHA DDS (OWNER)
(082) 532-2897
Entity
Organization
Contact information
Practice address
1634 E 53RD ST, CHICAGO, IL 60615-4384
(773) 966-6465
(773) 952-4683
Mailing address
5501 W 79TH ST STE 302, BURBANK, IL 60459-2185
(708) 394-5100
(708) 907-3165
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
04/25/2019
Last updated
08/09/2019
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