Yasir Riadh Issa D.D.S.

NPI 1053753061 - Dentist - 1223G0001X

NPI Details
NPI 1053753061
Gender Male
Enumeration Date 07/19/2013
Last Updated 07/19/2013
Entity Type Individual
Active Over 3 years ago
Practice Location
1320 GOLF RD
WAUKEGAN IL, 60087-4831, US
Phone (847) 336-2800
Fax (847) 662-0163
Business Location
3137 PUTTER CT
GREENWOOD IN, 46143-9572, US
Phone (317) 612-4549
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State Illinois
License Number 019.029505
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According to our database, Dr. Yasir Riadh Issa D.D.S. NPI is 1053753061, taxonomy code is 1223G0001X and license number is 019.029505, license state is located at Illinois. Yasir Riadh Issa D.D.S. physically located at 1320 Golf Rd, Waukegan IL, 60087-4831. NPI Number Yasir Riadh Issa D.D.S. has the Individual type.

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1053753061 NPI number is provided on an as is basis without warranty of any kind. 1053753061 is maintained by the National Plan & Provider Enumeration System. The contents of Yasir Riadh Issa D.D.S. are for informational purposes only.