Organization
TAHA ORTHODONTICS PC
Active
Organization
TAHA ORTHODONTICS PC
Active
Other names
Panacea Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HALA TAHA DDS, MS, ABO (MANAGER)
(630) 400-5522
Entity
Organization
Contact information
Practice address
1919 MIDWEST RD STE 201, OAK BROOK, IL 60523-1318
(630) 400-5522
Mailing address
12 DOVER DR, OAK BROOK, IL 60523-2363
(630) 400-5522
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
04/08/2020
Last updated
04/08/2020
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