Omar Moukaddem, DMD
NPI 1336718659 · on the registry since 2021
Practice
- Address
- 200 W Lake St
Addison, IL 60101 - Phone
- (630) 628-3115
- Organisation at this address
- Familia Dental Llc
Familia Dental 2 Llc
Familia Dental 3 LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 11
Registry record
- Primary taxonomy
- Dentist
122300000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-06-21
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois