Individual
DR. BASEL M F ABOZOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
140 W ROOSEVELT RD, VILLA PARK, IL 60181-3504
(682) 847-5874
Mailing address
140 W ROOSEVELT RD, VILLA PARK, IL 60181-3504
(682) 847-5874
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019034595
IL
Other
Enumeration date
06/09/2021
Last updated
12/02/2023
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