Pinewood Dental, Pc | |
11979 W 143rd St Orland Park IL 60467-7218 | |
(708) 364-0641 | |
(708) 364-0657 |
Full Name | Pinewood Dental, Pc |
---|---|
Speciality | Dentist - General Practice |
Location | 11979 W 143rd St, Orland Park, Illinois |
Authorized Official Name and Position | Saqib H. Mohajir (PRESIDENT/DENTIST) |
Authorized Official Contact | 7083640641 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Pinewood Dental, Pc 11979 W 143rd St Orland Park IL 60467-7218 Ph: (708) 364-0641 | Pinewood Dental, Pc 11979 W 143rd St Orland Park IL 60467-7218 Ph: (708) 364-0641 |
NPI Number | 1699946913 |
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Provider Enumeration Date | 03/14/2008 |
Last Update Date | 03/14/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1699946913 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (Illinois) | Primary |
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