Individual
DR. MAMDOUH M ATTALLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
8541 SO STONY ISLAND AVE, CHICAGO, IL 60617
(773) 734-5013
Mailing address
8541 SO STONY ISLAND AVE, CHICAGO, IL 60617
(773) 734-5013
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019 22061
IL
Other
Enumeration date
01/02/2008
Last updated
01/02/2008
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