Khalil Salam Jarrad Salomon, DMD
Dentist, General Practice in Oak Forest, IL. Individual provider (NPI-1).
NPI number1831936780
StatusActive
Last updated in NPPESJul 9, 2024
Details
- NPI
- 1831936780
- Entity type
- Individual (NPI-1)
- Name
- Khalil Salam Jarrad Salomon
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 9, 2024
- Certification date
- Jul 9, 2024
- Last updated
- Jul 9, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 019.035316 | IL | Yes |
Practice location
15544 Cicero AveOak Forest, IL 60452-3602
Phone 708-518-3001
Mailing address
4451 N Kimball Ave Unit 1Chicago, IL 60625-5415
Phone 404-906-9343
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All 11 General Practice Dentistry providers in Oak Forest · All 444 providers in Oak Forest
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