Individual
BUHISA ABDELKAFI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5201 WASHINGTON AVE STE A, RACINE, WI 53406-4242
(262) 634-0441
Mailing address
215 W WASHINGTON ST APT 3710, CHICAGO, IL 60606-3519
(512) 888-7598
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019.034255
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
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Other
Enumeration date
05/08/2023
Last updated
07/19/2023
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