Individual
HANNA ATALLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
21 WEST 285 GLEN PARK RD., LOMBARD, IL 60148
(773) 988-0786
Mailing address
21 WEST 285 GLEN PARK RD., LOMBARD, IL 60148
(773) 988-0786
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
58940
CA
Other
Enumeration date
11/16/2009
Last updated
11/16/2009
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