Individual
SERINA SALAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
9521 S WESTERN AVE, CHICAGO, IL 60643-1013
(773) 344-9120
Mailing address
9327 KIMMEL CT, TINLEY PARK, IL 60487-8448
(708) 603-0621
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019035092
IL
Other
Enumeration date
06/06/2024
Last updated
06/06/2024
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