IYAD S OMAR

EVERGREEN PARK, IL
NPI1912379017
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy124Q00000X Dental Hygienist
(Licence: IL  020013964)
Enumeration Date2015-10-28
Last Update Date2015-10-28
Business Address
-- IYAD S OMAR R.D.H, B.S.
2803 W 95TH ST
EVERGREEN PARK, IL 60805-2702
Phone number: 708-425-1134
Mailing Address
-- IYAD S OMAR R.D.H, B.S.
2803 W 95TH ST
EVERGREEN PARK, IL 60805-2702
Phone number: 708-425-1134
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