Individual
DR. ALLEN P MOMONGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2551 N CLARK ST, SUITE 501, CHICAGO, IL 60614-1798
(773) 935-9818
Mailing address
1351 W ALTGELD ST, UNIT 4D, CHICAGO, IL 60614-2040
(312) 607-6036
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
IL
Other
Enumeration date
03/13/2007
Last updated
07/08/2007
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