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Provider Information for 1316375926

Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know

DR. HALA TAHA D.D.S., MS

Gender: FEMALE

Individual NPI: 1316375926

Calendar   Last Updated:  2020-04-08
  Certification Date:  2020-04-08

Details

Name Value
NPI 1316375926
Enumeration Date 2013-10-16
NPI Type 1 - Individual
Sole Proprietor YES
Status Active
Mailing Address 845 S MAIN ST
LOMBARD, IL 60148-3350
United States

Phone: 630-620-1980 | Fax:
View Map External Link
Primary Practice Address 1919 MIDWEST RD STE 201
OAK BROOK, IL 60523-1318
United States

Phone: 630-620-1980 | Fax:
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other URL panaceaorthodontics.com panaceaorthodontics.com 1919 MIDWEST RD STE 201
OAK BROOK, IL 60523-1318
United States
Other Identifiers
Issuer State Number
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 122300000X - Dentist IL 019028951