Mohammed, Wizarathussain
Mohammed, Wizarathussain is an individual health care provider with primary practice located at 144 W Roosevelt Rd , Villa Park IL 60181-3504. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Mohammed, Wizarathussain can be contacted via phone (630) 953-9999.Contact Information
Primary practice address
144 W Roosevelt Rd
Villa Park IL 60181-3504
Phone: (630) 953-9999
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / General Practice | 1223G0001X | 019.033342 | Illinois |
Profile Details
NPI number | 1356914238 |
---|---|
LBN Legal business name | Mohammed, Wizarathussain |
Credentials | Doctor of Dental Medicine (DMD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 20th, 2021 |
Last updated | Jul 20th, 2021 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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