Individual
ABDUL ALEEM FAIYAZ DAVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
21188 S LAGRANGE RD, FRANKFORT, IL 60423-2010
(815) 464-0412
Mailing address
15 W FULLERTON AVE, GLENDALE HTS, IL 60139-2648
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019029450
IL
Other
Enumeration date
05/18/2012
Last updated
02/11/2015
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