Organization
FAMILY DENTAL CARE
Active
Other names
Ghassan Abdallah
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GHASSAN ABDALLAH DMD (DMD PRESID)
(708) 429-4822
Entity
Organization
Contact information
Practice address
7895 W 159TH ST, TINLEY PARK, IL 60477
(708) 429-4822
(708) 429-4873
Mailing address
7895 W 159TH ST, TINLEY PARK, IL 60477
(708) 429-4822
(708) 429-4873
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1001005
—
IL
Enumeration date
06/05/2007
Last updated
08/22/2020
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