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Organization

EJAZ TAHIR, DDS, MS, LTD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. EJAZ TAHIR D.D.S. (ORTHODONTIST)
(708) 484-8686
Entity
Organization

Contact information

Practice address
2140 WESLEY AVE, BERWYN, IL 60402-1858
(708) 484-8686
(708) 484-8687
Mailing address
2140 WESLEY AVE, BERWYN, IL 60402-1858
(708) 484-8686
(708) 484-8687

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
019022990
IL

Other

Enumeration date
12/23/2009
Last updated
12/23/2009
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