Organization
LAWNDALE DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SYED REHMAN DMD (CEO)
(847) 915-2827
Entity
Organization
Contact information
Practice address
3600 W ROOSEVELT RD, CHICAGO, IL 60624-4225
(773) 565-4042
Mailing address
3600 W ROOSEVELT RD, CHICAGO, IL 60624-4225
(773) 565-4042
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019030260
IL
Other
Enumeration date
01/17/2017
Last updated
01/17/2017
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