Organization
INTERNATIONAL DENTAL JOLIET
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RABEH R MOHAMMAD-SALAMAH DDS (OWNER)
(815) 730-1570
Entity
Organization
Contact information
Practice address
18 S LARKIN AVE, JOLIET, IL 60436-1244
(815) 730-1570
Mailing address
18 S LARKIN AVE, JOLIET, IL 60436-1244
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
—
—
Other
Enumeration date
12/19/2011
Last updated
12/19/2011
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