Individual
LAWAL GARUBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
3528 E 118TH ST, CHICAGO, IL 60617-7314
(877) 692-8686
Mailing address
3528 E 118TH ST, CHICAGO, IL 60617-7314
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019.031294
IL
Other
Enumeration date
07/26/2017
Last updated
09/23/2017
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