Individual
GHADA ADHAMI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2102 N MARKET ST, CHAMPAIGN, IL 61822-1306
(217) 954-1244
Mailing address
2102 N MARKET ST, CHAMPAIGN, IL 61822-1306
(217) 954-1244
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019028252
IL
Other
Enumeration date
07/26/2010
Last updated
02/22/2024
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