Individual
AHMAD NOWEDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
10 W PHILLIP RD STE 105, VERNON HILLS, IL 60061-1730
(847) 680-7171
(224) 788-8667
Mailing address
10 W PHILLIP RD STE 105, VERNON HILLS, IL 60061-1730
(847) 680-7171
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
1001335-15
WI
1223G0001X
General Practice Dentistry
Primary
019030975
IL
Other
Enumeration date
06/13/2016
Last updated
08/09/2023
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