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Organization

GATES DENTAL CARE PC

Active
Other names
Oralus, Oralus
Organization subpart
No

Provider details

NPI number
Authorized official
DR. GAMAL S. NAGUIB DMD (PRESIDENT)
(847) 967-1149
Entity
Organization

Contact information

Practice address
302 E SAINT CHARLES RD, VILLA PARK, IL 60181-2420
(630) 836-4410
(630) 563-9174
Mailing address
8135 N MILWAUKEE AVE, NILES, IL 60714-2828
(847) 967-1149
(847) 967-8594

Taxonomy

Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
019014756
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
019014756
IL
01
33060
BLUE SHIELD OF ILLINOIS
IL
Enumeration date
06/01/2006
Last updated
07/21/2022
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