Organization
NEW FAMILY DENTAL
Active
Other names
new family dental
Organization subpart
No
Provider details
NPI number
Authorized official
AMJAD MAHAIRI (DDS)
(847) 488-1909
Entity
Organization
Contact information
Practice address
1768 W ALGONQUN RD, ARLINGTON HEIGHTS, IL 60005
(331) 234-3000
Mailing address
1768 W ALGONQUIN RD, ARLINGTON HEIGHTS, IL 60005-3405
(331) 234-3000
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1194784470
—
IL
Enumeration date
09/29/2017
Last updated
07/21/2022
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