Individual
DR. MOHAMMAD DOULEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2727 N OAKLAND AVE, DECATUR, IL 62526-1586
(217) 875-4505
Mailing address
2643 N 74TH CT, ELMWOOD PARK, IL 60707-1924
(773) 809-0123
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019.034461
IL
Other
Enumeration date
07/12/2023
Last updated
07/12/2023
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