Individual provider · Type 1 NPI
Alia Ezziddin, DMD
General Practice Dentistry · Wilmette, IL
NPI number
1780739912
Active
Practice location
924 Harvard Ln
Wilmette, IL 60091-1421
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry Primary | 1223G0001X | 019.027203 (IL) |
General Practice Dentistry: 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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About NPI 1780739912
Alia Ezziddin, DMD's National Provider Identifier is 1780739912, issued on Jan 25, 2007. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Wilmette, IL. The record was last updated on Jun 24, 2016.