Individual
DR. FADIA SALEM BAZINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2800 COLLEGE AVE, ALTON, IL 62002-4742
(618) 474-7052
Mailing address
90 MAGNOLIA DR UNIT 1209, GLEN CARBON, IL 62034-1589
(404) 903-3068
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
019.037046
IL
Other
Enumeration date
07/15/2026
Last updated
07/15/2026
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