Individual
DR. MARSHA A BABKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2841 HOME AVE, BERWYN, IL 60402-2951
(708) 484-3736
Mailing address
2841 HOME AVE, BERWYN, IL 60402-2951
(708) 484-3736
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
019015470
IL
1223G0001X
General Practice Dentistry
Primary
019015470
IL
Other
Enumeration date
04/15/2013
Last updated
10/02/2019
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