Individual
MOHAMED WAHBA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
223 E IL-38, ROCHELLE, IL 61068
(815) 561-6058
Mailing address
194 WRENWOOD CIR, ELGIN, IL 60124-0201
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019.033599
IL
Other
Enumeration date
06/22/2022
Last updated
06/22/2022
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