Husam Hiwiadi, DMD Valid NPI

Individual provider · General Practice Dentistry · Waukegan, IL

NPI

1689305765

Type

Individual (Type 1)

Primary specialty

General Practice Dentistry (Dentist)

Specialty group

Dental Providers

Taxonomy code

1223G0001X

License number

019.033617 (IL)

Sex

Male

Sole proprietor

Yes

Enumerated

2022-06-21

Last updated

2022-06-29