Organization
PRIMERA DENTAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NEDAL ABED (MANAGER)
(773) 391-9784
Entity
Organization
Contact information
Practice address
1121 NERGE RD, ELK GROVE VILLAGE, IL 60007-3260
(773) 391-9784
Mailing address
1121 NERGE RD, ELK GROVE VILLAGE, IL 60007-3260
(773) 391-9784
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
05/23/2021
Last updated
05/23/2021
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