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1396830808
EJAZ U TAHIR
BERWYN, IL
NPI
1396830808
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: IL 019022990)
Enumeration Date
2006-10-03
Last Update Date
2007-07-08
Business Address
-- EJAZ U TAHIR DDS, MS
2140 WESLEY AVE
BERWYN, IL 60402-1858
Phone number: 708-484-8686
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Mailing Address
-- EJAZ U TAHIR DDS, MS
1 SHENANDOAH CT
BOLINGBROOK, IL 60440-1462
Phone number: 630-378-4704
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