MAHMOUD JALLAD, DDS, MSD
Dentist
Active
Individual
NPI: 1083013171
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dentist | 122300000X | Yes | 019.029749 (IL) |
Frequently Asked Questions
NPI 1083013171 is the National Provider Identifier for MAHMOUD JALLAD, DDS, MSD, a Dentist provider located in Herrin, IL. This NPI was enumerated on August 14, 2014.
MAHMOUD JALLAD, DDS, MSD practices at 3024 S PARK AVE, Herrin, IL 62948.
Quick Facts
- NPI
- 1083013171
- Type
- Individual
- Enumerated
- Aug 14, 2014
- Last Updated
- Sep 5, 2022
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