Individual
KHALED ABUGHAZALEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BDS,DMD
Contact information
Practice address
65 E SCOTT ST APT 9A, CHICAGO, IL 60610-5274
(312) 498-1588
Mailing address
65 E SCOTT ST APT 9A, CHICAGO, IL 60610-5274
(312) 498-1588
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
—
IL
Other
Enumeration date
08/20/2006
Last updated
07/08/2007
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