Individual
MRS. MAZEN EISHO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
722 RAND GROVE LN APT 2A, PALATINE, IL 60074-1148
(773) 952-9109
Mailing address
722 RAND GROVE LN APT 2A, PALATINE, IL 60074-1148
(773) 952-9109
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019033326
IL
Other
Enumeration date
07/23/2021
Last updated
07/23/2021
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