Individual
FARAH TAZEEN KHATOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BDS, MPH, DMD
Contact information
Practice address
261 W BERKLEY LN, HOFFMAN ESTATES, IL 60169-1842
(630) 398-2782
Mailing address
261 W BERKLEY LN, HOFFMAN ESTATES, IL 60169-1842
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019030077
IL
Other
Enumeration date
10/28/2014
Last updated
10/28/2014
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