NPI 1295840304

Khaled Abughazaleh, BDSDMD

Practitioner Oral & Maxillofacial Surgery (D.M.D.) Chicago, IL

Practice location

Address: 65 E Scott St APT 9a, Chicago, IL 60610-5274
Phone: (312) 498-1588

Registered specialties

Oral & Maxillofacial Surgery (D.M.D.) Primary

Allopathic & Osteopathic Physicians Taxonomy 204E00000X

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Registry record

NPI: 1295840304
Entity type: Individual
Sex (as registered): Male
NPI issued: 20 Aug 2006
Record last updated: 8 Jul 2007

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.