Individual
ANITA AFSHARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
3425 S KING DR, CHICAGO, IL 60616-4108
(312) 313-9777
Mailing address
677 W WRIGHTWOOD AVE APT 2E, CHICAGO, IL 60614-2521
(615) 517-4742
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019032834
IL
Other
Enumeration date
07/27/2020
Last updated
07/27/2020
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