Individual
DR. MOHAMMAD AMIR KOUJAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1900 W 47TH ST, CHICAGO, IL 60609-3833
(773) 847-9004
(773) 847-9008
Mailing address
3454 MANOR LN APT 301, HOMEWOOD, AL 35209-5655
(708) 573-4810
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019.032515
IL
Other
Enumeration date
03/29/2020
Last updated
03/29/2020
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