Organization
ALA DEAN ATTAR DMD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALA DEAN ATTAR DMD (OWNER)
(847) 573-1904
Entity
Organization
Contact information
Practice address
712 FLORSHEIM DR, SUITE # 12, LIBERTYVILLE, IL 60048-5270
(847) 573-1904
(847) 573-1535
Mailing address
712 FLORSHEIM DR STE 12, LIBERTYVILLE, IL 60048-5270
(847) 573-1904
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019025151
IL
Other
Enumeration date
10/13/2016
Last updated
10/13/2016
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