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Individual

DR. MATTHEW SEENA HAMEDANI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
3116 OAK PARK AVE, BERWYN, IL 60402
(708) 484-9011
(708) 484-9061
Mailing address
3116 OAK PARK AVE, BERWYN, IL 60402-3031
(708) 484-9011
(708) 484-9061

Taxonomy

Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
019029609
IL
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
019-029609
IL
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
019029609
IL

Other

Enumeration date
08/13/2013
Last updated
05/21/2022
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