Organization
MUZAFFAR MIRZA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS MONA MANN (INSURANCE COORDINATOR)
(773) 548-0600
Entity
Organization
Contact information
Practice address
4501 S STATE ST, CHICAGO, IL 60609-3758
(773) 548-0600
(773) 548-0740
Mailing address
4501 S STATE ST, CHICAGO, IL 60609-3758
(773) 548-0600
(773) 548-0740
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
019019459
IL
Other
Enumeration date
05/08/2008
Last updated
04/07/2014
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