NPI 1023240918

Milad Nourahmadi, DDS

Practitioner General Practice Dentistry Bolingbrook, IL

Practice location

Address: 210 N Bolingbrook Dr, Bolingbrook, IL 60440-2386
Phone: (630) 972-4010
Mailing address: 208 N River Rd, Naperville, IL 60540-4040

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X Licence 019028115 (IL)

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Registry record

NPI: 1023240918
Entity type: Individual
Sex (as registered): Male
NPI issued: 11 Aug 2009
Record last updated: 14 Nov 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.