Tamer Moukaied, DDS
Dentist in Chicago, IL. Individual provider (NPI-1).
NPI number1366073348
StatusActive
Last updated in NPPESFeb 3, 2020
Details
- NPI
- 1366073348
- Entity type
- Individual (NPI-1)
- Name
- Tamer Moukaied
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jan 29, 2020
- Certification date
- Feb 3, 2020
- Last updated
- Feb 3, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 019032473 | IL | Yes |
Practice location
240 E Illinois St Apt 2708Chicago, IL 60611-5054
Phone 310-890-5038
Mailing address
240 E Illinois St Apt 2708Chicago, IL 60611-5054
Phone 310-890-5038
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