Individual
KHALIL SALAM JARRAD SALOMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
15544 CICERO AVE, OAK FOREST, IL 60452-3602
(708) 518-3001
Mailing address
4451 N KIMBALL AVE UNIT 1, CHICAGO, IL 60625-5415
(404) 906-9343
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019.035316
IL
Other
Enumeration date
07/09/2024
Last updated
07/09/2024
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