Holy Family Dental Clinic, PC

NPI #1538205158 in Waukegan, Illinois

Provider Information

NPI Number: 1538205158
Entity Type: Organization
Organization Name: Holy Family Dental Clinic, PC
Primary Specialty: Dentist - General Practice
Enumeration Date: Jan 30, 2007
Last Updated: Jun 10, 2014

Practice Location

Address: 2680 BELVIDERE RD
City: Waukegan
State: Illinois
ZIP Code: 60085-6006
Phone: (847) 360-3045

Authorized Official

Name: DR. SUMRANA S AHMED, DDS
Title: PRESIDENT
Phone: (847) 360-3045

Specialties & Taxonomy Codes

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

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