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Organization

EJAZ TAHIR, DDS, MS, LTD

Active
Parent organization
EJAZ TAHIR, DDS, MS, LTD
Organization subpart
Yes

Provider details

NPI number
Legal business name
EJAZ TAHIR, DDS, MS, LTD
Authorized official
DR. EJAZ TAHIR D.D.S. (ORTHODONTIST)
(708) 636-9000
Entity
Organization

Contact information

Practice address
9501 CENTRAL AVE, OAK LAWN, IL 60453-3784
(708) 636-9000
(708) 636-9002
Mailing address
9501 CENTRAL AVE, OAK LAWN, IL 60453-3784
(708) 636-9000
(708) 636-9002

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
019022990
IL

Other

Enumeration date
06/03/2010
Last updated
06/03/2010
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