Individual
MRS. DIMITRA PETRAKOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
2803 W 95TH ST, EVERGREEN PARK, IL 60805-2702
(708) 425-1134
(708) 423-3779
Mailing address
2803 W 95TH ST, EVERGREEN PARK, IL 60805-2702
(708) 425-1134
(708) 423-3779
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
—
IL
Other
Enumeration date
12/05/2007
Last updated
12/05/2007
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