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Individual

DR. MUZAFFAR MIRZA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
4501 S STATE ST, CHICAGO, IL 60609-3758
(773) 548-0600
(773) 548-0740
Mailing address
4501 S STATE ST, CHICAGO, IL 60609-3758
(773) 548-0600
(773) 548-0740

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019019459
IL

Other

Enumeration date
10/27/2005
Last updated
05/23/2022
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