B.d.a&h

NPI #1104074632 in Westmont, Illinois

Provider Information

NPI Number: 1104074632
Entity Type: Organization
Organization Name: B.d.a&h
Primary Specialty: Clinic/Center - Dental
Enumeration Date: Sep 9, 2008
Last Updated: Sep 9, 2008

Practice Location

Address: 210 N CASS AVE
Address 2: #D
City: Westmont
State: Illinois
ZIP Code: 60559-1750
Phone: (630) 737-0791

Authorized Official

Name: DR. BANA AHDAB, D.D.S
Title: PRESIDENT
Phone: (630) 737-0791

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Dental — Dental	261QD0000X	Primary

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