Dhccltd

NPI 1174916233 - Dentist - 122300000X

NPI Details
NPI 1174916233
Enumeration Date 03/13/2015
Last Updated 03/13/2015
Entity Type Healthcare Provider
Active Over 1 year ago
Authorized Information
Name MOHAMED MOHAMED
Position DENTIST
Phone (773) 656-3170
Fax
Practice Location
319 N WEBER RD
397
BOLINGBROOK IL, 60490-1569, US
Phone (773) 656-3170
Fax
Business Location
319 N WEBER RD
397
BOLINGBROOK IL, 60490-1569, US
Phone
Fax
Toxanomy
Taxonomy Code 122300000X
License State Illinois
License Number 019028978
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According to our database, Dhccltd NPI is 1174916233, taxonomy code is 122300000X and license number is 019028978, license state is located at Illinois. Dhccltd physically located at 319 N Weber Rd, Bolingbrook IL, 60490-1569. NPI Number 1033115704 has the healthcare provider type.

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1174916233 NPI number is provided on an as is basis without warranty of any kind. 1174916233 is maintained by the National Plan & Provider Enumeration System. The contents of Dhccltd are for informational purposes only.