Individual
SARA ZEIDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
6215 E STATE ST, ROCKFORD, IL 61108-2514
(312) 841-9100
Mailing address
831 CANTERFIELD PKWY W, WEST DUNDEE, IL 60118-9011
(650) 393-0569
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019.031217
IL
Other
Enumeration date
06/27/2017
Last updated
06/27/2017
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