Individual
DR. KOMAIL ABBAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
7117 GREEN BAY RD, KENOSHA, WI 53142-1450
(262) 942-7000
Mailing address
135 N MANCHESTER LN, BLOOMINGDALE, IL 60108-2507
(630) 803-6875
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
019.028557
IL
1223G0001X
General Practice Dentistry
Primary
1002048
WI
Other
Enumeration date
08/09/2011
Last updated
05/15/2019
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