Individual
DR. MIRA M ISKANDAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
4239 S.ARCHER AVE, CHICAGO, IL 60632
(773) 523-7527
(773) 523-0609
Mailing address
4239 S.ARCHER AVE, CHICAGO, IL 60632
(773) 523-7527
(773) 523-0609
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
IL
Other
Enumeration date
09/14/2006
Last updated
07/08/2007
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