HUSAM HIWIADI

WAUKEGAN, IL
NPI1689305765
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: IL  019.033617)
Enumeration Date2022-06-21
Last Update Date2022-06-29
Business Address
HUSAM HIWIADI DMD
3953 FOUNTAIN SQUARE PL
WAUKEGAN, IL 60085-6705
Phone number: 817-793-8559
Mailing Address
HUSAM HIWIADI DMD
450 WARRENVILLE RD APT 455
LISLE, IL 60532-1664
Phone number: 817-793-8559
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