| Othman Orthodontics | |
|
2340 S Highland Ave Ste 310 Lombard IL 60148-5371 | |
| (630) 424-9070 | |
| Not Available |
| Full Name | Othman Orthodontics |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 2340 S Highland Ave, Lombard, Illinois |
| Authorized Official Name and Position | Hasan Fawwaz Othman (PRESIDENT) |
| Authorized Official Contact | 6304249070 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Othman Orthodontics 2340 S Highland Ave Ste 310 Lombard IL 60148-5371 Ph: (630) 424-9070 | Othman Orthodontics 2340 S Highland Ave Ste 310 Lombard IL 60148-5371 Ph: (630) 424-9070 |
| NPI Number | 1992247084 |
|---|---|
| Provider Enumeration Date | 11/07/2016 |
| Last Update Date | 11/07/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992247084 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 0210022027 (Illinois) | Primary |
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