Samy Hussan DDS

NPI 1043524911 - Dentist - 122300000X

NPI Details
NPI 1043524911
Gender Male
Enumeration Date 08/03/2010
Last Updated 08/03/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
6560 W FULLERTON AVE
# O
CHICAGO IL, 60707, US
Phone (773) 385-6700
Fax (773) 385-6767
Business Location
430 W. ERIE ST
SUITE 200
CHICAGO IL, 60610, US
Phone (312) 274-0308
Fax (312) 944-9499
Toxanomy
Taxonomy Code 122300000X
License State California
License Number 59305
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According to our database, Dr. Samy Hussan DDS NPI is 1043524911, taxonomy code is 122300000X and license number is 59305, license state is located at California. Samy Hussan DDS physically located at 6560 W Fullerton Ave, Chicago IL, 60707. NPI Number Samy Hussan DDS has the Individual type.

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1043524911 NPI number is provided on an as is basis without warranty of any kind. 1043524911 is maintained by the National Plan & Provider Enumeration System. The contents of Samy Hussan DDS are for informational purposes only.