Organization
DES-WAY DENTAL GROUP PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOSTAFA IBRAHIM BDS,PROSTHDONTIST (OWNER)
(609) 968-8353
Entity
Organization
Contact information
Practice address
18213 DIXIE HWY, HOMEWOOD, IL 60430-2205
(708) 647-9112
Mailing address
18213 DIXIE HWY, HOMEWOOD, IL 60430-2205
(708) 647-9112
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
—
—
Other
Enumeration date
12/29/2025
Last updated
12/30/2025
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