Organization
CONFIDENTAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MUSTAFA OBAIDI DMD (DENTIST)
(708) 453-6677
Entity
Organization
Contact information
Practice address
7710 W NORTH AVE, ELMWOOD PARK, IL 60707-4123
(708) 453-6677
Mailing address
7710 W NORTH AVE, ELMWOOD PARK, IL 60707-4123
(708) 453-6677
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
02/25/2018
Last updated
02/25/2018
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