Individual
DR. NISREEN AL-FARRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
516 W LAKE ST, ADDISON, IL 60101-2307
(630) 279-3333
Mailing address
768 S COLFAX AVE, ELMHURST, IL 60126-4533
(248) 255-9456
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019.032879
IL
Other
Enumeration date
06/03/2021
Last updated
06/03/2021
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