Individual
DR. MONA HOVAIZI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
4561 MAINE ST, QUINCY, IL 62305-5851
(217) 290-5288
Mailing address
4561 MAINE ST, QUINCY, IL 62305-5851
(434) 242-3925
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN1858316
MA
Other
Enumeration date
05/26/2019
Last updated
05/09/2022
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