Individual
DR. OTHMAN REZKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1900 W POLK ST # 611, CHICAGO, IL 60612-3723
(312) 864-0200
Mailing address
4372 COMMERCIAL WAY, SPRING HILL, FL 34606-1965
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
002120
IL
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
DN27973
FL
Other
Enumeration date
08/04/2019
Last updated
09/10/2024
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