Individual
DR. DAVID MICHAEL AVENETTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MSD, MPH
Contact information
Practice address
801 S PAULINA ST # MC850, CHICAGO, IL 60612-7210
(951) 852-1769
Mailing address
801 SOUTH PAULINA (MC 850), CHICAGO, IL 60611
(951) 852-1769
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019.029667
IL
1223P0221X
Pediatric Dentistry
62834
CA
Other
Enumeration date
08/10/2010
Last updated
11/22/2013
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