| Dentalaveinc | |
|
7608 W 95th St Hickory Hills IL 60457-2203 | |
| (708) 737-5459 | |
| Not Available |
| Full Name | Dentalaveinc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 7608 W 95th St, Hickory Hills, Illinois |
| Authorized Official Name and Position | Magdi Ibrahim (DOCTOR) |
| Authorized Official Contact | 7087375457 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dentalaveinc 7608 W 95th St Hickory Hills IL 60457-2203 Ph: (708) 737-5459 | Dentalaveinc 7608 W 95th St Hickory Hills IL 60457-2203 Ph: (708) 737-5459 |
| NPI Number | 1164202719 |
|---|---|
| Provider Enumeration Date | 10/02/2023 |
| Last Update Date | 02/27/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164202719 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Secondary |
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Hickory Dentistry Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 8071 W 95th St, Hickory Hills, IL 60457 Phone: 630-247-7216 |