Individual
DR. ANGELO MANALOTO ARCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1740 W TAYLOR ST, CHICAGO, IL 60612
(866) 600-2273
Mailing address
300 N CANAL ST, APT 1811, CHICAGO, IL 60606-1281
(717) 419-6826
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
019.031263
IL
1223P0221X
Pediatric Dentistry
Primary
021.003019
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/24/2017
Last updated
03/07/2023
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