Organization
SOFLISA AZ LLC
Active
Other names
Wellness Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DUAA HAMOUD DMD (OWNER/ DENTIST)
(708) 940-6190
Entity
Organization
Contact information
Practice address
6288 E GRANT RD, TUCSON, AZ 85712-5831
(520) 214-2484
Mailing address
10741 165TH ST, ORLAND PARK, IL 60467-8713
(708) 940-6190
(708) 364-2010
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
04/03/2026
Last updated
04/08/2026
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