Provider Demographics
NPI:1104816958
Name:AL-RAYYAN, NAJLA AHMAD (DDS)
Entity type:Individual
Prefix:DR
First Name:NAJLA
Middle Name:AHMAD
Last Name:AL-RAYYAN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7374 W 87TH ST
Mailing Address - Street 2:
Mailing Address - City:BRIDGEVIEW
Mailing Address - State:IL
Mailing Address - Zip Code:60455-1824
Mailing Address - Country:US
Mailing Address - Phone:708-599-4600
Mailing Address - Fax:708-599-6105
Practice Address - Street 1:7374 W 87TH ST
Practice Address - Street 2:
Practice Address - City:BRIDGEVIEW
Practice Address - State:IL
Practice Address - Zip Code:60455-1824
Practice Address - Country:US
Practice Address - Phone:708-599-4600
Practice Address - Fax:708-599-6105
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist