Individual
DR. NIDA AQIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
10288 77TH ST STE 300, PLEASANT PRAIRIE, WI 53158-1134
(262) 697-4222
Mailing address
1309 WENTWORTH DR, VOLO, IL 60020-3416
(302) 268-0336
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6001043-15
WI
Other
Enumeration date
08/08/2022
Last updated
08/10/2022
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