Individual
HIBA DIAB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
452 E ROOSEVELT RD, LOMBARD, IL 60148
(630) 629-4100
(630) 216-6187
Mailing address
452 E ROOSEVELT RD, LOMBARD, IL 60148
(630) 629-4100
(630) 216-6187
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
019028985
IL
1223G0001X
General Practice Dentistry
Primary
019028985
IL
Other
Enumeration date
06/06/2012
Last updated
07/27/2023
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