Mahmoud Jallad, DDS, MSD

NPI #1083013171 in Herrin, Illinois

Provider Information

NPI Number: 1083013171
Entity Type: Individual
Name: Mahmoud Jallad, DDS, MSD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DDS, MSD
Enumeration Date: Aug 14, 2014
Last Updated: Sep 5, 2022

Practice Location

Address: 3024 S PARK AVE
City: Herrin
State: Illinois
ZIP Code: 62948-3721
Phone: (833) 337-9563

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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