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Individual

DR. ALI AMRA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
16473 W 159TH ST, LOCKPORT, IL 60441-7961
(708) 369-6324
Mailing address
6 W STONEBRIDGE CT UNIT A, PALOS HILLS, IL 60465-4218
(708) 369-6324

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019.033101
IL

Other

Enumeration date
06/01/2021
Last updated
06/01/2021
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