Avicenna Dental LLC

NPI #1194431916 in Palos Hills, Illinois

Provider Information

NPI Number
1194431916
Entity Type
Organization
Organization Name
Avicenna Dental LLC
Primary Specialty
Dentist
Enumeration Date
Jan 25, 2023
Last Updated
Jan 25, 2023

Practice Location

Address
10415 S ROBERTS RD
ZIP Code
60465-1931
Phone
(708) 581-5151

Authorized Official

Name
ADHAM BADWAN, DMD
Title
OWNER
Phone
(708) 856-7175

Specialties & Taxonomy Codes

Specialty
Dentist

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