Individual
ASFIA KAUSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
4325 W CASTLETON RD, PEORIA, IL 61615-2821
(872) 806-5618
Mailing address
4325 W CASTLETON RD, PEORIA, IL 61615-2821
(872) 806-5618
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019.032744
IL
Other
Enumeration date
07/04/2020
Last updated
07/04/2020
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