Organization
DENTAL STARZ, LLC
Active
Parent organization
DENTAL STARZ, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
DENTAL STARZ, LLC
Authorized official
ILYAS AHMED D.D.S. (DENTIST)
(773) 486-6500
Entity
Organization
Contact information
Practice address
4434A W FULLERTON AVE, CHICAGO, IL 60639-1932
(773) 486-6500
(773) 486-6556
Mailing address
4434A W FULLERTON AVE, CHICAGO, IL 60639-1932
(773) 486-6500
(773) 486-6556
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019026721
IL
Other
Enumeration date
03/12/2013
Last updated
03/12/2013
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