Organization
OTHMAN ORTHODONTICS INC
Active
Organization
OTHMAN ORTHODONTICS INC
Active
Other names
Othman Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HASAN FAWWAZ OTHMAN DDS, PHD (PRESIDENT)
(630) 424-9070
Entity
Organization
Contact information
Practice address
2340 S HIGHLAND AVE, STE 310, LOMBARD, IL 60148-5371
(630) 424-9070
Mailing address
2340 S HIGHLAND AVE, STE 310, LOMBARD, IL 60148-5371
(630) 424-9070
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
0210022027
IL
Other
Enumeration date
11/07/2016
Last updated
11/07/2016
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