Organization
JULIANNA P SHAMOON DMD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JULIANNNA SHAMOON D.M.D. (PERIODONTIST)
(810) 919-8123
Entity
Organization
Contact information
Practice address
1624 W DIVISION ST STE B, CHICAGO, IL 60622-3908
(773) 697-9796
Mailing address
18W070 ROYCE BLVD APT 428, OAKBROOK TERRACE, IL 60181-4916
(810) 919-8123
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
—
—
Other
Enumeration date
08/14/2019
Last updated
08/14/2019
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