Individual
ASHOR SAM HAIDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
4420 N MILWAUKEE AVE, CHICAGO, IL 60630-3710
(773) 725-5540
(773) 286-6999
Mailing address
4420 N MILWAUKEE AVE, CHICAGO, IL 60630-3710
(773) 725-5540
(773) 286-6999
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019024182
IL
Other
Enumeration date
11/21/2008
Last updated
11/21/2008
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