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Individual

LAYAL DAIRI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1254 N WELLS ST, CHICAGO, IL 60610-1981
(312) 337-3300
Mailing address
1211 S PRAIRIE AVE APT 2003, CHICAGO, IL 60605-3653
(847) 609-5159

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019033690
IL
1223G0001X
General Practice Dentistry
019033690
IL

Other

Enumeration date
07/05/2022
Last updated
01/09/2023
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