Organization
DENTAL EDGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ISLAM NAEM DDS (PRESIDENT)
(313) 506-0795
Entity
Organization
Contact information
Practice address
4941 N KEDZIE AVE, CHICAGO, IL 60625-5009
(773) 661-0668
(773) 661-0396
Mailing address
4941 N KEDZIE AVE, CHICAGO, IL 60625-5009
(773) 661-0668
(773) 661-0396
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019028042
IL
Other
Enumeration date
04/05/2012
Last updated
04/05/2012
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