MR. Reza Vakili, D.D.S.

NPI #1417137217 in Peoria Heights, Illinois

Provider Information

NPI Number: 1417137217
Entity Type: Individual
Name: MR. Reza Vakili, D.D.S.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: D.D.S.
Enumeration Date: Nov 8, 2007
Last Updated: Jul 21, 2022

Practice Location

Address: 4450 N. PROSPECT RD
Address 2: SUITE S5
City: Peoria Heights
State: Illinois
ZIP Code: 61616
Phone: (309) 839-2586

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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