Organization
HYDE PARK UNIVERSAL DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AHMED RAMAHA DDS (PRESIDEN)
(773) 891-4209
Entity
Organization
Contact information
Practice address
1634 E 53RD ST, SUITE 101, CHICAGO, IL 60615-4384
(773) 966-6465
(773) 952-4683
Mailing address
9618 SOUTHWEST HWY, OAK LAWN, IL 60453-2862
(708) 394-5100
(708) 907-3165
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
08/29/2011
Last updated
11/03/2022
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