Organization
DOGWOOD GROUP PC
Active
Other names
Berkeley Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OMAR L GHONEIM DDS (DENTIST/OWNER)
(773) 308-3787
Entity
Organization
Contact information
Practice address
1752 N TAFT AVE, BERKELEY, IL 60163-1555
(773) 308-3787
Mailing address
1752 N TAFT AVE, BERKELEY, IL 60163-1555
(773) 308-3787
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019023860
IL
Other
Enumeration date
06/13/2016
Last updated
06/13/2016
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