Organization
HERRIN DENTAL LLC
Active
Other names
Weekend Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAHMOUD JALLAD DDS (OWNER DENTIST)
(334) 354-7852
Entity
Organization
Contact information
Practice address
3024 S PARK AVE, HERRIN, IL 62948-3721
(833) 337-9563
Mailing address
3205 ARABIAN CT, HERRIN, IL 62948-3788
(334) 354-7852
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
08/01/2022
Last updated
09/03/2022
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