Individual
DR. MARY HA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1873 SHERMER RD, NORTHBROOK, IL 60062-5300
(847) 480-7670
Mailing address
1873 SHERMER RD, NORTHBROOK, IL 60062-5300
(847) 480-7670
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019021169
IL
Other
Enumeration date
08/02/2021
Last updated
08/02/2021
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