Individual
DINA MAHDI ALSSAEAIDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6258 S PULASKI RD, CHICAGO, IL 60629-4610
(773) 777-6363
Mailing address
PO BOX 11232, CHICAGO, IL 60611-0229
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019033183
IL
Other
Enumeration date
06/11/2021
Last updated
06/11/2021
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