Individual
ALALEH DOWLATSHAHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
3210 W 63RD ST, CHICAGO, IL 60629-3325
(312) 274-0308
Mailing address
1525 S SANGAMON STREET, APT 617, CHICAGO, IL 60608-2241
(312) 388-0109
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019.027868
IL
Other
Enumeration date
02/26/2009
Last updated
02/26/2009
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