Individual
AMIR NAMAZI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
13245 KESSLER RD, CAIRO, IL 62914-3101
(618) 734-4400
Mailing address
1250 CEDAR CT, CARBONDALE, IL 62901-5334
(618) 457-0450
(618) 457-7821
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019032422
IL
Other
Enumeration date
11/18/2019
Last updated
11/18/2019
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