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Individual

DR. MUSTAPHA HOTAIT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
1350 E SIBLEY BLVD, SUITE 302, DOLTON, IL 60419-2965
(708) 849-4644
Mailing address
8300 VALLEY CIRCLE BLVD STE B, WEST HILLS, CA 91304-3023
(183) 486-0688

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019028015
IL

Other

Enumeration date
08/20/2009
Last updated
10/06/2021
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