Individual
DR. KRISTEN VLAGOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
10215 W ROOSEVELT RD, WESTCHESTER, IL 60154-2576
(708) 562-5621
Mailing address
2219 W CHICAGO AVE, CHICAGO, IL 60622-4795
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019028730
IL
Other
Enumeration date
06/11/2014
Last updated
06/11/2014
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