Organization
INTERNATIONAL DENTAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RABEH SALAMAH-MOAHAMMAD DDS (PRESIDENT)
(773) 227-1245
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
(815) 730-1570
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
019023066
IL
Other
Enumeration date
06/19/2009
Last updated
06/19/2009
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