Sepi Dashti Valid NPI
Individual provider · General Practice Dentistry · Waukegan, IL
- NPI
- 1619630480
- Type
- Individual (Type 1)
- Primary specialty
- General Practice Dentistry (Dentist)
- Specialty group
- Dental Providers
- Taxonomy code
- 1223G0001X
- License number
- 019.033166 (IL)
- Sex
- Female
- Sole proprietor
- Yes
- Enumerated
- 2021-10-19
- Last updated
- 2021-10-19
Practice location
338 S Green Bay Rd
Waukegan, IL 60085-4850
(847) 336-7800