Organization
JUAN G MESA, DDS PC
Active
Other names
None
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUAN G MESA DDS (DOCTOR DENTIST)
(773) 267-9777
Entity
Organization
Contact information
Practice address
3190 N ELSTON AVE, CHICAGO, IL 60618-5845
(773) 267-9777
(773) 267-9662
Mailing address
3190 N ELSTON AVE, CHICAGO, IL 60618-5845
(773) 267-9777
(773) 267-9662
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
IL
Other
Enumeration date
09/14/2006
Last updated
02/28/2008
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