Dental Concepts LLC
Dentist, General Practice in Downers Grove, IL. Organization (NPI-2).
NPI number1013797828
StatusActive
Last updated in NPPESSep 29, 2023
Details
- NPI
- 1013797828
- Entity type
- Organization (NPI-2)
- Legal business name
- Dental Concepts LLC
- Organization subpart
- No
- Enumeration date
- Sep 29, 2023
- Certification date
- Sep 29, 2023
- Last updated
- Sep 29, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | – | – | Yes |
Other names
- Downers Grove Dental Spa (Doing Business As)
Practice location
640 Ogden Ave Ste 5Downers Grove, IL 60515-2940
Phone 630-541-8915
Mailing address
640 Ogden Ave Ste 5Downers Grove, IL 60515-2940
Authorized official
Ahmed M Hegazy
Owner
6462700496
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