Organization
ASIM AWAN DDS PC
Active
Other names
Tic Tac Tooth Pediatric Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ASIM AWAN DDS (DENTIST)
(312) 480-8720
Entity
Organization
Contact information
Practice address
2812 HASSERT BLVD STE 104, NAPERVILLE, IL 60564-5826
(312) 480-8720
Mailing address
4670 GREEN BRIDGE LN, HANOVER PARK, IL 60133-2930
(312) 480-8720
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019027437
IL
Other
Enumeration date
01/13/2009
Last updated
07/21/2022
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