Individual
DR. ALIA MUSHTAQ AHMED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1037 W WELLINGTON AVE, APT # 2, CHICAGO, IL 60657-4377
(703) 850-9623
Mailing address
1037 W WELLINGTON AVE, APT # 2, CHICAGO, IL 60657-4377
(703) 850-9623
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019.029109
IL
Other
Enumeration date
07/12/2012
Last updated
09/27/2015
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