Ejaz U Tahir, DDS, MS
Dentist, Orthodontics and Dentofacial Orthopedics in Berwyn, IL. Individual provider (NPI-1).
NPI number1396830808
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1396830808
- Entity type
- Individual (NPI-1)
- Name
- Ejaz U Tahir
- Credential
- DDS, MS
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Oct 3, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223X0400X | Dentist, Orthodontics and Dentofacial Orthopedics | 019022990 | IL | Yes |
Practice location
2140 Wesley AveBerwyn, IL 60402-1858
Phone 708-484-8686 · Fax 708-484-8687
Mailing address
1 Shenandoah CtBolingbrook, IL 60440-1462
Phone 630-378-4704 · Fax 630-378-4760
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