Organization
DUDA DENTAL ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. YVONNE IZQUIERDO (OFFICE MANAGER)
(847) 251-5136
Entity
Organization
Contact information
Practice address
534 GREEN BAY RD, KENILWORTH, IL 60043-1801
(847) 251-5136
(847) 251-1365
Mailing address
534 GREEN BAY RD, KENILWORTH, IL 60043-1801
(847) 251-5136
(847) 251-1365
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
019028318
IL
1223G0001X
General Practice Dentistry
Primary
19017946
IL
Other
Enumeration date
05/29/2014
Last updated
05/29/2014
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