Individual
SARA AHMAD IMTIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
3435 W IRVING PARK RD, CHICAGO, IL 60618-3217
(773) 588-8200
Mailing address
1333 S WABASH AVE UNIT 1703, CHICAGO, IL 60605-2628
(908) 500-6968
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019.033704
IL
Other
Enumeration date
06/09/2022
Last updated
06/09/2022
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