Organization
BLAIBEL ENTERPRISE INC.
Active
Other names
Riverwalk Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAHA BLAIBEL-SHAHSHOUH DDS (PRESIDENT)
(847) 818-0088
Entity
Organization
Contact information
Practice address
3469 KIRCHOFF RD, ROLLING MEADOWS, IL 60008-1842
(847) 818-0088
(847) 818-1207
Mailing address
3469 KIRCHOFF RD, ROLLING MEADOWS, IL 60008-1842
(847) 818-0088
(847) 818-1207
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019.027080
IL
Other
Enumeration date
12/09/2010
Last updated
12/15/2010
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