Individual
BEATA REGINA DEVIRION
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
250 W KENSINGTON RD, SUITE 3A, MT PROSPECT, IL 60056-1293
(847) 253-7070
Mailing address
250 W KENSINGTON RD, SUITE 3A, MT PROSPECT, IL 60056-1293
(847) 253-7070
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019022981
IL
Other
Enumeration date
11/14/2006
Last updated
11/01/2012
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