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Dr. Sam Daliri, DMD
General Practice Dentistry in Normal, Illinois
NPI 1487209664

Sam Daliri is a General Practice Dentistry based in Normal, IL and is specialized in General Practice. Sam Daliri practices in Normal, IL and has the professional credentials of DMD. The NPI Number for Sam Daliri is 1487209664 and holds a License No. 019.032266 (Illinois).

The current practice location address for Sam Daliri is 1604 Visa Dr, Normal, IL and can be reached out via phone at 773-610-1041 and via fax at 815-977-7029.

Location: 1604 Visa Dr, Normal, IL, 61761-2195
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1487209664
Provider Name
Sam Daliri
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
1604 Visa Dr, Normal, IL, 61761-2195
Phone Number
773-610-1041
Fax Number
815-977-7029
Provider Enumeration Date
08/05/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1604 Visa Dr
City
Normal
State
Illinois
Zip
61761-2195
Phone Number
773-610-1041
Fax Number
815-977-7029
person
Provider Business Mailing Address Details
Address
1604 Visa Dr
City
Normal
State
Illinois
Zip
61761-2195
Phone Number
773-610-1041
Fax Number
815-977-7029
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
019.032266 (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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