Organization
ALA DEAN ATTAR DMD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALA DEAN ATTAR DMD (DENTIST)
(847) 573-1904
Entity
Organization
Contact information
Practice address
712 FLORSHEIM DR STE 12, LIBERTYVILLE, IL 60048-5270
(847) 573-1904
(847) 573-1535
Mailing address
712 FLORSHEIM DR STE 12, LIBERTYVILLE, IL 60048-5270
(847) 573-1904
(847) 573-1535
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
019025151
IL
Other
Enumeration date
05/03/2012
Last updated
06/07/2012
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