Organization
HOMEWOOD FAMILY DENTISTRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID ABUMANNEH DDS (DENTIST)
(708) 206-1277
Entity
Organization
Contact information
Practice address
1944 RIDGE RD, HOMEWOOD, IL 60430-1730
(708) 206-1277
Mailing address
1944 RIDGE RD, HOMEWOOD, IL 60430-1730
(708) 206-1277
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
05/05/2025
Last updated
05/05/2025
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