Organization
ASFOUR DENTAL INC
Active
Other names
Orland Advanced Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAWSAN ASFOUR DDS (DOCTOR/OWNER)
(708) 364-0900
Entity
Organization
Contact information
Practice address
11315 W 143RD ST, ORLAND PARK, IL 60467-7221
(708) 364-0900
(708) 364-0909
Mailing address
11315 W 143RD ST, ORLAND PARK, IL 60467-7221
(708) 364-0900
(708) 364-0909
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019024297
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
019024297/1001093
—
IL
05
—
019026013/920038
—
IL
Enumeration date
11/04/2008
Last updated
11/04/2008
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