| Universal Dental | |
|
300 E 162nd St South Holland IL 60473-2141 | |
| (708) 424-5901 | |
| Not Available |
| Full Name | Universal Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 300 E 162nd St, South Holland, Illinois |
| Authorized Official Name and Position | Ahmed Ramaha (VOICE PRESIDENT) |
| Authorized Official Contact | 7084245901 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Universal Dental 9618 Southwest Hwy Oak Lawn IL 60453-2862 Ph: (708) 394-5100 | Universal Dental 300 E 162nd St South Holland IL 60473-2141 Ph: (708) 424-5901 |
| NPI Number | 1164892006 |
|---|---|
| Provider Enumeration Date | 10/05/2015 |
| Last Update Date | 09/20/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164892006 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 019027051 (Illinois) | Primary |
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