THAER AL AZZAWI D.M.D.
Individual Provider (NPI-1)
Active
Dentist
Provider Information
- NPI Number
1366823262- Provider Type
- Individual Provider (NPI-1)
- Credentials
- D.M.D.
- Status
- Active
Contact & Location
- Address
- 811 W WELLINGTON AVE, CHICAGO, IL, 606575123
- Phone
- (773) 871-1461
- Fax
- (773) 871-6353
Specialties & Taxonomies
Dentist
License: TX #31017
Oral & Maxillofacial Surgery
License: IL #019.033851
Dentist
Primary License: IL #019.033851
All Addresses
MAILING
9150 BEECHNUT ST STE A
HOUSTON, TX, 77036