Organization
DYNASTY DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RIBHI SALAMAH DMD (OWNER)
(773) 562-1697
Entity
Organization
Contact information
Practice address
18 S LARKIN AVE STE 7, JOLIET, IL 60436-1266
(815) 730-1570
Mailing address
18 S LARKIN AVE STE 7, JOLIET, IL 60436-1266
(815) 730-1570
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1407548076
—
IL
05
—
1609569979
—
IL
Enumeration date
05/21/2024
Last updated
05/21/2024
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