Individual
MAYSAA OUBAIDIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
801 S PAULINA ST, CHICAGO, IL 60612-7210
(708) 639-5210
Mailing address
8610 CREST CT, BURR RIDGE, IL 60527-7125
(708) 639-5210
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
136.000248
IL
Other
Enumeration date
10/13/2020
Last updated
10/13/2020
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