DR. Asim Mohammad Ansari, D.D.S.

NPI #1881904670 in Glen Ellyn, Illinois

Provider Information

NPI Number: 1881904670
Entity Type: Individual
Name: DR. Asim Mohammad Ansari, D.D.S.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: D.D.S.
Enumeration Date: Oct 14, 2010
Last Updated: Dec 10, 2015

Practice Location

Address: 2S733 CRIMSON KING LN
City: Glen Ellyn
State: Illinois
ZIP Code: 60137-7229
Phone: (630) 254-9114

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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