Subhan Manzoor, DDS

NPI #1124709183 in Justice, Illinois

Provider Information

NPI Number: 1124709183
Entity Type: Individual
Name: Subhan Manzoor, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Jul 31, 2023
Last Updated: Oct 31, 2023

Practice Location

Address: 8021 W 79TH ST
City: Justice
State: Illinois
ZIP Code: 60458-1607
Phone: (708) 634-0843

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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