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General NPI Number Information
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NPI Number | 1861355919
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Entity Type | Organization
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Legal Business Name | M&A DENTAL CO.
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Dates
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Enumeration Date | 12/05/2025
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Last Update Date | 12/05/2025
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Provider Practice Location Address
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Address Line | 1600 16TH ST STE 19
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City | OAK BROOK
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State | IL
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Zip | 60523-1302
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Country | US
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Telephone | 630-822-9706
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Fax |
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Provider Business Mailing Address
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Address Line | 1600 16TH ST STE 19
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City | OAK BROOK
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State | IL
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Zip | 60523-1302
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Country | US
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Telephone | 630-822-9706
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Fax |
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Authorized Official
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Title or Position | DENTIST
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Name | AOUN KHAN
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Credential | DMD
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Telephone | 708-655-0312
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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