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Organization

ORLAND ELITE DENTAL INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ASHRAF AHMAD D.D.S (OWNER)
(708) 364-8700
Entity
Organization

Contact information

Practice address
10763 163RD PL, ORLAND PARK, IL 60467-8861
(708) 364-8700
Mailing address
10763 163RD PL, ORLAND PARK, IL 60467-8861
(708) 364-8700

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019026287
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1005813
IL
Enumeration date
04/03/2012
Last updated
04/03/2012
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