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1215436498
MOATAZ SALAH
DOWNERS GROVE, IL
NPI
1215436498
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Former Name
MOATAZ MOHAMED
Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: IL 019031474)
Enumeration Date
2018-02-02
Last Update Date
2019-11-20
Business Address
MOATAZ SALAH
5540 WALNUT AVE APT 14C
DOWNERS GROVE, IL 60515-4127
Phone number: 661-916-9850
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Mailing Address
MOATAZ SALAH
5836 S HARLEM AVE STE 200
SUMMIT, IL 60501-1407
Phone number: 708-215-4000
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