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Omar Souman, Dmd, P.c.
Dental Clinic/Center in Berwyn, Illinois
NPI 1396024220

Omar Souman, Dmd, P.c. is a Dental Clinic/Center based in Berwyn, IL and is specialized in Dental. Omar Souman, Dmd, P.c. practices in Berwyn, IL. The NPI Number for Omar Souman, Dmd, P.c. is 1396024220 and holds a License No. 019.028602 (Illinois).

The current practice location address for Omar Souman, Dmd, P.c. is 6301 Cermak Rd Ste B, Berwyn, IL and can be reached out via phone at 708-956-7516.

Location: 6301 Cermak Rd Ste B, Berwyn, IL, 60402-2368
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1396024220
Provider Name
Omar Souman, Dmd, P.c.
Credential
Provider Entity Type
Organization
Address
6301 Cermak Rd Ste B, Berwyn, IL, 60402-2368
Phone Number
708-956-7516
Fax Number
Provider Enumeration Date
08/09/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
6301 Cermak Rd Ste B
City
Berwyn
State
Illinois
Zip
60402-2368
Phone Number
708-956-7516
Fax Number
person
Provider Business Mailing Address Details
Address
6301 Cermak Rd Ste B
City
Berwyn
State
Illinois
Zip
60402-2368
Phone Number
708-956-7516
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
019.028602 (Illinois)
Definition
Definition to come...
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