Individual
MAHA KHADEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
9327 SKOKIE BLVD UNIT C, SKOKIE, IL 60077-1310
(847) 227-8277
Mailing address
2400 ARCHBURY LN APT 1C, PARK RIDGE, IL 60068-3672
(847) 877-0293
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019.033161
IL
1223G0001X
General Practice Dentistry
019.033161
IL
Other
Enumeration date
06/22/2021
Last updated
06/22/2021
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