| Avicenna Dental Llc | |
|
10415 S Roberts Rd Palos Hills IL 60465-1931 | |
| (708) 581-5151 | |
| (708) 581-5184 |
| Full Name | Avicenna Dental Llc |
|---|---|
| Speciality | Dentist |
| Location | 10415 S Roberts Rd, Palos Hills, Illinois |
| Authorized Official Name and Position | Adham Badwan (OWNER) |
| Authorized Official Contact | 7088567175 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Avicenna Dental Llc 10417 S Roberts Rd Palos Hills IL 60465-1931 Ph: (708) 856-7175 | Avicenna Dental Llc 10415 S Roberts Rd Palos Hills IL 60465-1931 Ph: (708) 581-5151 |
| NPI Number | 1194431916 |
|---|---|
| Provider Enumeration Date | 01/25/2023 |
| Last Update Date | 01/25/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194431916 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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