Organization
INTERNATIONAL DENTAL OF BRIDGEVIEW LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SALEH AKHRAS D.D.S. (PRESIDENT)
(708) 261-0861
Entity
Organization
Contact information
Practice address
7124 W 83RD ST, SUITE E, BRIDGEVIEW, IL 60455-4034
(708) 261-0861
Mailing address
7124 W 83RD ST, SUITE E, BRIDGEVIEW, IL 60455-4034
(708) 261-0861
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
11/29/2015
Last updated
03/07/2016
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