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Individual

DR. SAMER M ELBATANOUNY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
BDS, DDS

Contact information

Practice address
432 E ROOSEVELT RD, LOMBARD, IL 60148-4630
(630) 629-4100
Mailing address
432 E ROOSEVELT RD, LOMBARD, IL 60148-4630
(630) 632-4100

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019.028597
IL

Other

Enumeration date
05/29/2011
Last updated
01/13/2014
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