Organization
HYDE PARK UNIVERSAL DENTAL LLC
Active
Parent organization
RAMAHA DENTAL PC
Organization subpart
Yes
Provider details
NPI number
Legal business name
RAMAHA DENTAL PC
Authorized official
AHMED RAMAHA DDS (OWNER)
(773) 966-6465
Entity
Organization
Contact information
Practice address
1634 E 53RD ST, CHICAGO, IL 60615-4384
(773) 966-6465
(773) 952-4683
Mailing address
1634 E 53RD ST, CHICAGO, IL 60615-4384
(773) 966-6465
(773) 952-4683
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
03/13/2013
Last updated
03/13/2013
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