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Individual

DR. MICHAEL SAM FAKHOURI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.M.D

Contact information

Practice address
504-506 WAVERLY DRIVE, ELGIN, IL 60120
(847) 214-8888
Mailing address
2748 WENDY DR, NAPERVILLE, IL 60565-5320
(630) 605-6466

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019.033677
IL

Other

Enumeration date
06/27/2022
Last updated
06/27/2022
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