Individual
HAYTHAM MUSTAFA SAFI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
4953 W FULLERTON AVE, CHICAGO, IL 60639-2505
(773) 887-3244
Mailing address
4953 W FULLERTON AVE, CHICAGO, IL 60639-2505
(773) 655-7455
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019.027782
IL
Other
Enumeration date
12/15/2008
Last updated
10/01/2014
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