Individual
MUSTAFA OBAIDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
3420 W ELM ST, MCHENRY, IL 60050-4433
(815) 344-0453
Mailing address
3420 W ELM ST, MCHENRY, IL 60050-4433
(815) 344-0453
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019030653
IL
122300000X
Dentist
2901021942
MI
Other
Enumeration date
06/07/2016
Last updated
05/10/2021
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