Provider Demographics
NPI:1548837479
Name:SAAI ATASSI DENTAL LTD
Entity type:Organization
Organization Name:SAAI ATASSI DENTAL LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MANAR
Authorized Official - Middle Name:
Authorized Official - Last Name:ATASSI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:312-339-3746
Mailing Address - Street 1:809 COVENTRY LN
Mailing Address - Street 2:
Mailing Address - City:OAK BROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60523-1443
Mailing Address - Country:US
Mailing Address - Phone:312-339-3746
Mailing Address - Fax:
Practice Address - Street 1:6418 S CASS AVE
Practice Address - Street 2:
Practice Address - City:WESTMONT
Practice Address - State:IL
Practice Address - Zip Code:60559-3209
Practice Address - Country:US
Practice Address - Phone:630-963-8680
Practice Address - Fax:630-963-5899
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-09
Last Update Date:2021-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty