Individual
MRS. MORVARID SADRI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
1411 W IRVING PARK RD, CHICAGO, IL 60613-1920
(773) 404-8030
(773) 404-8504
Mailing address
1411 W IRVING PARK RD, CHICAGO, IL 60613-1920
(773) 404-8030
(773) 404-8504
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1005619
—
IL
Enumeration date
10/16/2006
Last updated
07/09/2007
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