Individual
SAMANTHA M DAHSHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
2 E 8TH ST BLDG APT 2511, CHICAGO, IL 60605-2165
(708) 465-0004
Mailing address
2 E 8TH ST BLDG APT 2511, CHICAGO, IL 60605-2165
(708) 465-0004
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
019.031853
IL
122300000X
Dentist
Primary
DN1859084
MA
Other
Enumeration date
05/03/2021
Last updated
03/01/2022
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