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Individual

OUSSAMA FOUNAS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S

Contact information

Practice address
1259 S WABASH AVE, CHICAGO, IL 60605-2412
(312) 846-6752
Mailing address
1259 S WABASH AVE, CHICAGO, IL 60605-2412
(312) 846-6752

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019028391
IL

Other

Enumeration date
06/09/2010
Last updated
03/19/2014
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