Individual
AZADEH MARY AFZALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
946 HARLEM AVE, GLENVIEW, IL 60025-4275
(847) 724-3969
(847) 724-3972
Mailing address
946 HARLEM AVE, GLENVIEW, IL 60025-4275
(847) 724-3969
(847) 724-3972
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019-022130
IL
Other
Enumeration date
07/09/2008
Last updated
03/12/2018
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