Individual
EMMANUEL PAGUIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2101 N DAMEN AVE, CHICAGO, IL 60647-4528
(773) 227-8005
Mailing address
2101 N DAMEN AVE, CHICAGO, IL 60647-4528
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019025796
IL
Other
Enumeration date
07/30/2008
Last updated
07/30/2008
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