Organization
ABUGHAZALEH INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KHALED ABUGHAZALEH BDS,DMD (PRESIDENT)
(312) 498-1588
Entity
Organization
Contact information
Practice address
65 E SCOTT ST APT 9A, CHICAGO, IL 60610-5274
(312) 498-1588
Mailing address
65 E SCOTT ST APT 9A, CHICAGO, IL 60610-5274
(312) 498-1588
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
019024034
IL
Other
Enumeration date
10/11/2008
Last updated
10/11/2008
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