Individual
DR. RAZA HUSSAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
10155 WASHINGTON AVE, STURTEVANT, WI 53177-1645
(262) 884-0111
Mailing address
1447 PRESIDENT ST, GLENDALE HEIGHTS, IL 60139-3602
(630) 648-9417
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
019.033500
IL
1223G0001X
General Practice Dentistry
Primary
6001126
WI
Other
Enumeration date
01/31/2022
Last updated
03/15/2023
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