Individual
MARIA HAMIDANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
620 WEST EDGEWOOD ROAD, LOMBARD, IL 60148-3234
(773) 294-2762
Mailing address
620 WEST EDGEWOOD ROAD, LOMBARD, IL 60148-3234
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2015018527
MO
Other
Enumeration date
06/18/2015
Last updated
06/18/2015
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