Individual
DR. CARLY FOX ADAJIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
225 E CHICAGO AVE, CHICAGO, IL 60611-2991
(312) 227-4000
Mailing address
225 E CHICAGO AVE, CHICAGO, IL 60611-2991
(312) 227-4000
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019.033580
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/19/2022
Last updated
12/27/2022
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