ELFATIH EISA

EDWARDSVILLE, IL
NPI1790511020
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: IL  019.035367)
Enumeration Date2024-09-12
Last Update Date2024-09-19
Business Address
ELFATIH EISA
8 SUNSET HILLS PROFESSIONAL CTR
EDWARDSVILLE, IL 62025-3760
Phone number: 618-831-8041
Mailing Address
ELFATIH EISA
8 SUNSET HILLS PROFESSIONAL CTR
EDWARDSVILLE, IL 62025-3760
Phone number: 202-957-2324
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