NPI 1912379017

Iyad S Omar, RDHBS

Practitioner Dental Hygienist Evergreen Park, IL

Practice location

Address: 2803 W 95th St, Evergreen Park, IL 60805-2702
Phone: (708) 425-1134

Registered specialties

Dental Hygienist Primary

Dental Providers Taxonomy 124Q00000X Licence 020013964 (IL)

Other Dental Hygienist providers in Illinois →

Registry record

NPI: 1912379017
Entity type: Individual
Sex (as registered): Male
NPI issued: 28 Oct 2015
Record last updated: 28 Oct 2015

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.