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Shafaq R. Mustafa, DDS

General Dentistry · South Holland, IL

UnclaimedDDSNPI 1255321170
Primary taxonomy
1223G0001X
Enumerated
2005-10-22
Practice location
South Holland, IL
Last NPPES update
2007-10-17

State licenses

  • IL · Dentist · LICENSED DENTISTActivethrough 2027

“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.

Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.