Individual
MUHANAD AL KHATIB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6060 LUTE RD, PORTAGE, IN 46368-5008
(219) 762-3842
Mailing address
901 S ASHLAND AVE APT 1011, CHICAGO, IL 60607-4091
(562) 331-0210
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019-033586
IL
Other
Enumeration date
06/08/2022
Last updated
07/14/2022
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