Organization
ENIDA HAXHIA DDS MS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ENIDA HAXHIA DDS, MS (ENDODONTIST)
(312) 291-9571
Entity
Organization
Contact information
Practice address
4801 W PETERSON AVE, CHICAGO, IL 60646-5713
(312) 291-9571
Mailing address
4801 W PETERSON AVE, CHICAGO, IL 60646-5713
(312) 291-9571
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
—
—
Other
Enumeration date
05/25/2022
Last updated
05/25/2022
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