Individual
MERVA RAZZAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16906 OAK PARK AVE, TINLEY PARK, IL 60477-3075
(708) 444-7645
Mailing address
2113 DALY LN, PLAINFIELD, IL 60586-2565
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
019.034633
IL
1223P0221X
Pediatric Dentistry
Primary
021.003293
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/25/2021
Last updated
10/03/2023
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