Individual
RUAA ADHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2211 S EOLA RD STE D, AURORA, IL 60503-6485
(630) 851-5250
Mailing address
12720 S ROUTE 59, 102, PLAINFIELD, IL 60585-5505
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019.030946
IL
122300000X
Dentist
DN 21828
FL
Other
Enumeration date
03/24/2014
Last updated
08/06/2020
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