Organization
KHALIL QATU DDS, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KHALIL QATU DDS (PRESIDENT)
(248) 672-2061
Entity
Organization
Contact information
Practice address
2156 N DAMEN AVE, CHICAGO, IL 60647-6481
(312) 312-3759
Mailing address
235 W VAN BUREN ST UNIT 4407, CHICAGO, IL 60607-3946
(248) 672-2061
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
03/12/2024
Last updated
03/12/2024
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