LYLA AZZAM, DDS
Dentist
Active
Individual
NPI: 1255968368
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dentist | 122300000X | Yes | 019.033 (IL) |
| Student in an Organized Health Care Education/Training Program | 390200000X | No | - |
Frequently Asked Questions
NPI 1255968368 is the National Provider Identifier for LYLA AZZAM, DDS, a Dentist provider located in Glendale Heights, IL. This NPI was enumerated on March 26, 2020.
LYLA AZZAM, DDS practices at 1177 BLOOMINGDALE RD STE B, Glendale Heights, IL 60139.
Quick Facts
- NPI
- 1255968368
- Type
- Individual
- Enumerated
- Mar 26, 2020
- Last Updated
- Jan 13, 2023
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