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Organization

JOSH HASSAN DMD PLLC

Active
Other names
Glen Perio and Implant Dentistry
Organization subpart
No

Provider details

NPI number
Authorized official
JEANETTE FRUHMAN (CONTROLLER)
(516) 312-4735
Entity
Organization

Contact information

Practice address
2640 PATRIOT BLVD STE 140, GLENVIEW, IL 60026-8076
(516) 312-4735
(847) 729-0202
Mailing address
2640 PATRIOT BLVD STE 140, GLENVIEW, IL 60026-8076
(516) 312-4735
(847) 729-0202

Taxonomy

Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary

Other

Enumeration date
05/30/2023
Last updated
05/30/2023
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