Sam Dauahera DDS PC

NPI #1992046205 in Chicago, Illinois

Provider Information

NPI Number: 1992046205
Entity Type: Organization
Organization Name: Sam Dauahera DDS PC
Primary Specialty: Dentist - General Practice
Enumeration Date: Mar 12, 2013
Last Updated: Mar 12, 2013

Practice Location

Address: 5131 W DEVON AVE
City: Chicago
State: Illinois
ZIP Code: 60646-4217
Phone: (773) 631-8717

Authorized Official

Name: DR. SAM DAUAHERA, DDS
Title: OWNER
Phone: (773) 456-5659

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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