DR. Hatimali Imtiaz Husain Mithaiwala, DDS

NPI #1083477269 in Morris, Illinois

Provider Information

NPI Number: 1083477269
Entity Type: Individual
Name: DR. Hatimali Imtiaz Husain Mithaiwala, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Jan 31, 2024
Last Updated: Jan 31, 2024

Practice Location

Address: 1010 W US ROUTE 6
City: Morris
State: Illinois
ZIP Code: 60450-8942
Phone: (815) 942-0010

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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