Pulaski Universal Dental LLC

NPI #1225379464 in Chicago, Illinois

Provider Information

NPI Number: 1225379464
Entity Type: Organization
Organization Name: Pulaski Universal Dental LLC
Subpart: Yes (part of a larger organization)
Parent Organization: RAMAHA DENTAL PC
Primary Specialty: Dentist - General Practice
Enumeration Date: Mar 13, 2013
Last Updated: Mar 13, 2013

Practice Location

Address: 4445 N PULASKI RD
Address 2: SUITE # R
City: Chicago
State: Illinois
ZIP Code: 60630-4400
Phone: (773) 961-8555

Authorized Official

Name: AHMED RAMAHA, DDS
Title: OWNER
Phone: (773) 961-8555

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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