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Shafaq Raafat Mustafa, DDS
General Practice Dentistry in South Holland, Illinois
NPI 1255321170

Shafaq Raafat Mustafa is a General Practice Dentistry based in South Holland, IL and is specialized in General Practice. Shafaq Raafat Mustafa practices in South Holland, IL and has the professional credentials of DDS. The NPI Number for Shafaq Raafat Mustafa is 1255321170 and holds a License No. (Illinois).

The current practice location address for Shafaq Raafat Mustafa is 16111 La Salle St, South Holland, IL and can be reached out via phone at 708-339-9999 and via fax at 708-339-0009. You can also correspond with Shafaq Raafat Mustafa through the mailing address at 16111 LA SALLE ST, SOUTH HOLLAND, IL - 60473-2064 (mailing address contact number: 708-339-9999).

Location: 16111 La Salle St, South Holland, IL, 60473-2064
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1255321170
Provider Name
Shafaq Raafat Mustafa
Credential
DDS
Provider Entity Type
Individual
Gender
Female
Address
16111 La Salle St, South Holland, IL, 60473-2064
Phone Number
708-339-9999
Fax Number
708-339-0009
Provider Enumeration Date
10/22/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
9178436 05 IL
institution
Provider Business Practice Location Address Details
Address
16111 La Salle St
City
South Holland
State
Illinois
Zip
60473-2064
Phone Number
708-339-9999
Fax Number
708-339-0009
person
Provider Business Mailing Address Details
Address
16111 La Salle St
City
South Holland
State
Illinois
Zip
60473-2064
Phone Number
708-339-9999
Fax Number
708-339-0009
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
(Illinois)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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