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International Dental Center — NPI 1013063031, Chicago, IL | NPI Central

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NPI 1013063031

OrganizationActive

International Dental Center

NPI 1013063031 · Point of Service · Chicago, IL

Provider details

NPI number: 1013063031
Entity type: Organization
Primary specialty: Point of ServiceManaged Care Organizations
Organization subpart: No
Authorized official: Rabeh Salamah-Mohammad, President(773) 227-1245

Specialties & taxonomies

Point of ServicePrimary305S00000X
Managed Care Organizations

Practice location

2122 N Milwaukee Ave

Chicago, IL 60647-4067

Phone: (773) 227-1245

Approximate (ZIP-level) locationGet directions

More IL providers

Mailing address

2122 N Milwaukee Ave

Chicago, IL 60647-4067

Registry dates

Enumerated: 2007-01-25
Last updated: 2022-07-21

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.