Individual
MRS. GHAYDA ALI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9011 SKYLINE DR, BURR RIDGE, IL 60527-6252
(708) 336-0174
Mailing address
9011 SKYLINE DR, BURR RIDGE, IL 60527-6252
(708) 336-0174
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019.035093
IL
Other
Enumeration date
05/17/2024
Last updated
07/01/2024
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