Individual
DR. HODA MAHMOUD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
12200 WESTERN AVE STE 108, BLUE ISLAND, IL 60406-1493
(708) 385-3700
Mailing address
7704 LECLAIRE AVE, BURBANK, IL 60459-1542
(708) 407-0405
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019036394
IL
Other
Enumeration date
08/05/2025
Last updated
08/11/2025
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