Individual
DR. GLORIA V VAJDI KHOSHNOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
111 N WABASH AVE, SUITE 2003, CHICAGO, IL 60602-1903
(312) 372-2945
(312) 372-2947
Mailing address
111 N WABASH AVE, SUITE 2003, CHICAGO, IL 60602-1903
(312) 372-2945
(312) 372-2947
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019025142
IL
Other
Enumeration date
03/08/2012
Last updated
01/17/2013
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