| Orland Elite Dental Inc | |
|
10763 163rd Pl Orland Park IL 60467-8861 | |
| (708) 364-8700 | |
| Not Available |
| Full Name | Orland Elite Dental Inc |
|---|---|
| Speciality | Dentist |
| Location | 10763 163rd Pl, Orland Park, Illinois |
| Authorized Official Name and Position | Ashraf Ahmad (OWNER) |
| Authorized Official Contact | 7083648700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Orland Elite Dental Inc 10763 163rd Pl Orland Park IL 60467-8861 Ph: (708) 364-8700 | Orland Elite Dental Inc 10763 163rd Pl Orland Park IL 60467-8861 Ph: (708) 364-8700 |
| NPI Number | 1558627661 |
|---|---|
| Provider Enumeration Date | 04/03/2012 |
| Last Update Date | 04/03/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558627661 | NPI | - | NPPES |
| 1005813 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 019026287 (Illinois) | Primary |
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