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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