Organization
DENTISTRY ON ORCHARD LLC
Active
Other names
DENTISTRY ON ORCHARD LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MUSTAFA ALKHAWAJA (OWNER)
(630) 863-2643
Entity
Organization
Contact information
Practice address
1061 W ORCHARD RD, NORTH AURORA, IL 60542-1677
(630) 410-9614
Mailing address
1061 W ORCHARD RD, NORTH AURORA, IL 60542-1677
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
09/05/2019
Last updated
09/05/2019
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