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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