DR. Omar Moukaddem, DMD

NPI #1336718659 in Addison, Illinois

Provider Information

NPI Number
1336718659
Entity Type
Individual
Name
DR. Omar Moukaddem, DMD
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist
Credential
DMD
Enumeration Date
Jun 21, 2021
Last Updated
Jun 21, 2021

Practice Location

Address
200 W LAKE ST
ZIP Code
60101-2513
Phone
(630) 628-3115

Specialties & Taxonomy Codes

Specialty
Dentist

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