Organization
ELITE DENTISTRY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOHAMED WAHEED D.D.S (PRESIDENT)
(630) 201-1969
Entity
Organization
Contact information
Practice address
24 DENNISON DR, GLENDALE HEIGHTS, IL 60139-1875
(630) 201-1969
(630) 295-8408
Mailing address
24 DENNISON DR, GLENDALE HEIGHTS, IL 60139-1875
(630) 201-1969
(630) 295-8408
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019028978
IL
Other
Enumeration date
12/10/2014
Last updated
12/10/2014
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