Most Relevant Information
Provider Data
| NPI Number: | 1003234287 |
| Provider Name: | IAN CHARLES MCCOMB |
| Entity Type: | Individual |
| Taxonomy Code: | 1223S0112X |
| Specialty: | Dentist |
| License Number: | 019029867 |
Most Important Dates
| Enumeration Date: | 04/03/2014 |
| Last Updated: | 05/25/2022 |
Provider Practice Location
2160 S 1ST AVE
MAYWOOD
IL
601533328
Practice Location Phone/Fax
| Phone: | 7082169000 |
| Fax: |
Provider Mailing Location
2160 S 1ST AVE
MAYWOOD
IL
601533328
Provider Mailing Phone/Fax
| Phone: | 7082169000 |
| Fax: |