Individual
MISBAH MUZAFFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1530 LAKE ST, ROSELLE, IL 60172-3330
(630) 529-0900
Mailing address
1530 LAKE ST, ROSELLE, IL 60172-3330
(630) 529-0900
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019.033191
IL
Other
Enumeration date
06/22/2021
Last updated
09/30/2021
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