Berwyn Dental Clinic

NPI #1316675176 in Berwyn, Illinois

Provider Information

NPI Number: 1316675176
Entity Type: Organization
Organization Name: Berwyn Dental Clinic
Primary Specialty: Dentist - General Practice
Enumeration Date: Aug 10, 2022
Last Updated: Aug 22, 2022

Practice Location

Address: 6436 CERMAK RD
City: Berwyn
State: Illinois
ZIP Code: 60402-2310
Phone: (708) 317-5264

Authorized Official

Name: YAQIN DAWOUD, DDS
Title: OWNER
Phone: (708) 351-4562

Specialties & Taxonomy Codes

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

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