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Dr. Alia Ezziddin, DMD
General Practice Dentistry in Wilmette, Illinois
NPI 1780739912

Alia Ezziddin is a General Practice Dentistry based in Wilmette, IL and is specialized in General Practice. Alia Ezziddin practices in Wilmette, IL and has the professional credentials of DMD. The NPI Number for Alia Ezziddin is 1780739912 and holds a License No. 019.027203 (Illinois).

The current practice location address for Alia Ezziddin is 924 Harvard Ln, Wilmette, IL and can be reached out via phone at 312-237-6390. You can also correspond with Alia Ezziddin through the mailing address at 924 HARVARD LN, WILMETTE, IL - 60091-1421 (mailing address contact number: 312-237-6390).

Location: 924 Harvard Ln, Wilmette, IL, 60091-1421
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1780739912
Provider Name
Alia Ezziddin
Credential
DMD
Provider Entity Type
Individual
Gender
Female
Address
924 Harvard Ln, Wilmette, IL, 60091-1421
Phone Number
312-237-6390
Fax Number
Provider Enumeration Date
01/25/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
9185375 05 IL
institution
Provider Business Practice Location Address Details
Address
924 Harvard Ln
City
Wilmette
State
Illinois
Zip
60091-1421
Phone Number
312-237-6390
Fax Number
person
Provider Business Mailing Address Details
Address
924 Harvard Ln
City
Wilmette
State
Illinois
Zip
60091-1421
Phone Number
312-237-6390
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
019.027203 (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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