Individual
DR. SAM DAUAHERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
12033 S PULASKI RD, ALSIP, IL 60803-1221
(708) 371-9373
(708) 371-9424
Mailing address
12033 S PULASKI RD, ALSIP, IL 60803-1221
(708) 371-9373
(708) 371-9424
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019027577
IL
Other
Enumeration date
03/04/2008
Last updated
01/31/2012
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