Individual
MUIZZ MERCHANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
720 COG CIR STE H, CRYSTAL LAKE, IL 60014-7301
(779) 220-4396
Mailing address
720 COG CIR STE H, CRYSTAL LAKE, IL 60014-7301
(779) 220-4396
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019.031801
IL
Other
Enumeration date
07/24/2018
Last updated
07/24/2018
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