Tayseer A Ibrahim Dds Pc

NPI 1043209257 - Dentist - 1223G0001X

NPI Details
NPI 1043209257
Enumeration Date 10/19/2005
Last Updated 08/21/2015
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name TAYSEER A TAYSEER
Position PRESIDENT
Phone (847) 244-3322
Fax (847) 244-3318
Practice Location
1413 GRAND AVE
WAUKEGAN IL, 60085-3601, US
Phone (847) 244-3322
Fax (847) 244-3318
Business Location
1413 GRAND AVE
WAUKEGAN IL, 60085-3601, US
Phone (847) 244-3322
Fax (847) 244-3318
Toxanomy
Taxonomy Code 1223G0001X
License State Illinois
License Number 19-025457
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According to our database, Tayseer A Ibrahim Dds Pc NPI is 1043209257, taxonomy code is 1223G0001X and license number is 19-025457, license state is located at Illinois. Tayseer A Ibrahim Dds Pc physically located at 1413 Grand Ave, Waukegan IL, 60085-3601. NPI Number 1033115704 has the healthcare provider type.

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1043209257 NPI number is provided on an as is basis without warranty of any kind. 1043209257 is maintained by the National Plan & Provider Enumeration System. The contents of Tayseer A Ibrahim Dds Pc are for informational purposes only.