Ala Dean Attar Dmd PC
Dentist in Libertyville, IL. Organization (NPI-2).
NPI number1639629645
StatusActive
Last updated in NPPESOct 13, 2016
Details
- NPI
- 1639629645
- Entity type
- Organization (NPI-2)
- Legal business name
- Ala Dean Attar Dmd PC
- Organization subpart
- No
- Enumeration date
- Oct 13, 2016
- Last updated
- Oct 13, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 019025151 | IL | Yes |
Practice location
712 Florsheim DrSuite # 12
Libertyville, IL 60048-5270
Phone 847-573-1904 · Fax 847-573-1535
Mailing address
712 Florsheim Dr Ste 12Libertyville, IL 60048-5270
Phone 847-573-1904
Authorized official
Ala Dean Attar
Owner
8475731904
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