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Individual

LAYAN ZAZA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
10601 S WESTERN AVE, CHICAGO, IL 60643-3100
(773) 230-3200
Mailing address
10601 S WESTERN AVE, CHICAGO, IL 60643-3100

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019.033630
IL

Other

Enumeration date
06/16/2022
Last updated
07/19/2022
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