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Individual

FAYDA HASAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DMD

Contact information

Practice address
3011 THEODORE ST, JOLIET, IL 60435-5288
(815) 254-6900
Mailing address
9830 SOUTHWEST HWY, OAK LAWN, IL 60453-3662

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019035072
IL

Other

Enumeration date
06/22/2024
Last updated
06/22/2024
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