Organization
MISWAK DENTISTRY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TARIQ RIYAL D.D.S (PRESIDENT)
(630) 863-8342
Entity
Organization
Contact information
Practice address
201 HAMPSHIRE CT, NAPERVILLE, IL 60565-3289
(630) 863-8342
Mailing address
201 HAMPSHIRE CT, NAPERVILLE, IL 60565-3289
(630) 863-8342
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019028601
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1083907828
—
IL
Enumeration date
09/15/2011
Last updated
09/15/2011
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