| Central Amazing Dental Llc | |
|
5501 W 79th St Ste 201 Burbank IL 60459-1796 | |
| (708) 424-5901 | |
| (708) 424-5901 |
| Full Name | Central Amazing Dental Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 5501 W 79th St Ste 201, Burbank, Illinois |
| Authorized Official Name and Position | Ahmed Ramaha (OWNER) |
| Authorized Official Contact | 7083945100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Central Amazing Dental Llc 5501 W 79th St Ste 302 Burbank IL 60459-2185 Ph: (708) 394-5100 | Central Amazing Dental Llc 5501 W 79th St Ste 201 Burbank IL 60459-1796 Ph: (708) 424-5901 |
| NPI Number | 1184288151 |
|---|---|
| Provider Enumeration Date | 04/25/2019 |
| Last Update Date | 08/09/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184288151 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Secondary |
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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