Izaz Shaik
NPI #1326777665 in Bloomington, Illinois
Provider Information
- NPI Number
- 1326777665
- Entity Type
- Individual
- Name
- Izaz Shaik
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist
- Enumeration Date
- Jun 9, 2022
- Last Updated
- Jun 9, 2022
Practice Location
- Address
- 1407 N VETERANS PKWY STE 12
- City
- Bloomington
- State
- Illinois
- ZIP Code
- 61704-6425
- Phone
- (201) 852-2435
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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