Organization
MIDWEST DENTAL SPECIALITIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NAJLA AHMAD AL-RAYYAN D.D.S (DOCTOR)
(708) 599-4600
Entity
Organization
Contact information
Practice address
7714 W 159TH ST, ORLAND PARK, IL 60462-5445
(708) 429-2020
Mailing address
7714 W 159TH ST, ORLAND PARK, IL 60462-5445
(708) 429-2020
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
019025223
IL
Other
Enumeration date
12/09/2008
Last updated
12/09/2008
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