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Individual

ANNA DE LA FUENTE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DMD

Contact information

Practice address
282 MCHENRY RD, WHEELING, IL 60090-3202
(847) 235-6859
(847) 235-6958
Mailing address
282 MCHENRY RD, WHEELING, IL 60090-3202
(847) 235-6859
(847) 235-6958

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019030345
IL

Other

Enumeration date
07/23/2015
Last updated
05/14/2016
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