Individual
ZANE MUHL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
89 MALDEN AVE, LA GRANGE, IL 60525-5843
(708) 354-4266
Mailing address
89 MALDEN AVE, LA GRANGE, IL 60525-5843
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
019-012213
IL
Other
Enumeration date
09/18/2014
Last updated
09/18/2014
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