Elfatih Eisa
Elfatih Eisa is a Dentist in Edwardsville, Illinois. Practices as a sole proprietor. Licensed in Illinois.
- Licensed in
- IL
- In the registry since
- 2024
Practice location Address checks out
8 Sunset Hills Professional CtrEdwardsville, IL 62025-3760
Phone: (618) 831-8041
Fax: (618) 831-8042
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Specialties & licences
| Dentist (primary) | Taxonomy 122300000X · Licence 019.035367 (IL) |
|---|
Record details
| NPI number | 1790511020 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | September 12, 2024 |
| Last updated in NPPES | September 19, 2024 |
| Certification date | September 19, 2024 |
| Mailing address | 8 Sunset Hills Professional Ctr, Edwardsville, IL 62025-3760 |
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