Organization
AB DENTAL PROFESSIONALS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMJAD ALQAZAHA DDS (MANAGER/CO-OWNER)
(773) 435-9933
Entity
Organization
Contact information
Practice address
5672 SOUTH ARCHER AVENUE, CHICAGO, IL 60638
(773) 435-9933
Mailing address
10443 CAPISTRANO LN, ORLAND PARK, IL 60467-8244
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019029072
IL
Other
Enumeration date
04/16/2018
Last updated
04/16/2018
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