Individual
DR. MARY KHO VIVIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
3338 W MONTROSE AVE, CHICAGO, IL 60618-1247
(773) 478-9393
(773) 478-9303
Mailing address
3338 W MONTROSE AVE, CHICAGO, IL 60618-1247
(773) 478-9393
(773) 478-9303
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019023398
IL
Other
Enumeration date
02/07/2007
Last updated
07/08/2007
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