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Organization
O GUTERZON DDS LTD
Active
Organization
O GUTERZON DDS LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OKSANA GUTERZON DDS (OWNER)
(773) 973-1100
Entity
Organization
Contact information
Practice address
2806 W DEVON AVE, CHICAGO, IL 60659-1502
(773) 973-1100
Mailing address
2806 W DEVON AVE, CHICAGO, IL 60659-1502
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019026015
IL
Other
Enumeration date
08/26/2010
Last updated
08/26/2010
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