Individual
M ROHI ATASSI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
420 E WATERSIDE DR, APT 808, CHICAGO, IL 60601-8001
(312) 622-4406
Mailing address
420 E WATERSIDE DR, APT 808, CHICAGO, IL 60601-8001
(312) 622-4406
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019030540
IL
Other
Enumeration date
04/06/2016
Last updated
04/06/2016
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