Individual
DR. OLA R MAHMOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
1298 S. MILWAUKEE AVE., LIBERTYVILLE, IL 60048
(847) 362-6540
(847) 362-6544
Mailing address
1298 S. MILWAUKEE AVE., LIBERTYVILLE, IL 60048
(847) 362-6540
(847) 362-6544
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019.030643
IL
122300000X
Dentist
1001386
WI
Other
Enumeration date
07/05/2016
Last updated
12/20/2018
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