Mohammed Murtaza Ali Mir
NPI #1205402625 in Villa Park, Illinois
Provider Information
- NPI Number
- 1205402625
- Entity Type
- Individual
- Name
- Mohammed Murtaza Ali Mir
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist
- Enumeration Date
- May 27, 2021
- Last Updated
- May 27, 2021
Practice Location
- Address
- 144 W ROOSEVELT RD
- City
- Villa Park
- State
- Illinois
- ZIP Code
- 60181-3504
- Phone
- (773) 548-0600
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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