Individual
DINA ALQAWASMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
3020 S CICERO AVE, CICERO, IL 60804-3638
(708) 863-2000
Mailing address
7101 98TH ST APT 201, CHICAGO RIDGE, IL 60415-1072
(708) 224-3910
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019032133
IL
Other
Enumeration date
05/29/2019
Last updated
05/29/2019
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