SAM DALIRI

NORMAL, IL
NPI1487209664
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: IL  019.032266)
Enumeration Date2019-08-05
Last Update Date2019-10-15
Business Address
Dr. SAM DALIRI D.M.D
1604 VISA DR
NORMAL, IL 61761-2195
Phone number: 773-610-1041
Mailing Address
Dr. SAM DALIRI D.M.D
1604 VISA DR UNIT 3
NORMAL, IL 61761-2195
Phone number: 309-585-2522