Dentalaveinc
NPI #1164202719 in Hickory Hills, Illinois
Provider Information
- NPI Number
- 1164202719
- Entity Type
- Organization
- Organization Name
- Dentalaveinc
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Oct 2, 2023
- Last Updated
- Feb 27, 2024
Practice Location
- Address
- 7608 W 95TH ST
- City
- Hickory Hills
- State
- Illinois
- ZIP Code
- 60457-2203
- Phone
- (708) 737-5459
Authorized Official
- Name
- MAGDI IBRAHIM, DMD
- Title
- DOCTOR
- Phone
- (708) 737-5457
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
| Clinic/Center - Dental — Dental |
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