Organization
HAMMOND DENTAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OLADIMEJI OGBARA DDS (PRESIDENT)
(312) 678-5895
Entity
Organization
Contact information
Practice address
3302 GROVE AVE, BERWYN, IL 60402-3421
(773) 542-1916
(773) 542-1910
Mailing address
3302 GROVE AVE, BERWYN, IL 60402-3421
(773) 542-1916
(773) 542-1910
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12011374A
IL
Other
Enumeration date
06/02/2010
Last updated
08/28/2023
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