Organization
MAHDI DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOHAMMED MAHDI DMD , MS (DR / OWNER)
(203) 969-4248
Entity
Organization
Contact information
Practice address
125 S BLOOMINGDALE RD STE 9, BLOOMINGDALE, IL 60108-1216
(203) 969-4248
Mailing address
125 S BLOOMINGDALE RD STE 9, BLOOMINGDALE, IL 60108-1216
(203) 969-4248
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
07/24/2020
Last updated
07/24/2020
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