Organization
TOOTHLAND LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YUSUF FAHMY (PRESIDENT)
(630) 352-1547
Entity
Organization
Contact information
Practice address
6414A CALUMET AVE, HAMMOND, IN 46324-1207
(219) 803-6165
Mailing address
6414A CALUMET AVE, HAMMOND, IN 46324-1207
(219) 803-6165
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
06/12/2021
Last updated
06/12/2021
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