Individual
DR. ASIM MOHAMMAD ANSARI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2S733 CRIMSON KING LN, GLEN ELLYN, IL 60137-7229
(630) 254-9114
Mailing address
1037 E WOODFIELD RD, SCHAUMBURG, IL 60173-4706
(847) 466-7392
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019028486
IL
Other
Enumeration date
10/14/2010
Last updated
12/10/2015
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