Khaled Bassam Bishawi

NPI #1205676939 in Riverdale, Illinois

Provider Information

NPI Number
1205676939
Entity Type
Individual
Name
Khaled Bassam Bishawi
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - General Practice
Enumeration Date
May 30, 2024
Last Updated
May 30, 2024

Practice Location

Address
61 W 144TH ST
ZIP Code
60827-2850
Phone
(708) 849-8627

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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