Alia Ezziddin D.m.d., P.c.

NPI #1649419623 in Wilmette, Illinois

Provider Information

NPI Number
1649419623
Entity Type
Organization
Organization Name
Alia Ezziddin D.m.d., P.c.
Primary Specialty
Dentist - General Practice
Enumeration Date
Feb 13, 2009
Last Updated
Jun 24, 2016

Practice Location

Address
711 11TH ST
ZIP Code
60091-2671
Phone
(847) 906-8676

Authorized Official

Name
DR. ALIA EZZIDDIN, DMD
Title
DENTIST/OWNER/PRESIDENT
Phone
(847) 906-8676

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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