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Individual

DR. LOURDES TERRADO ANONUEVO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
3549 W IRVING PARK RD, CHICAGO, IL 60618-3219
(773) 509-9682
(773) 509-9339
Mailing address
3549 W IRVING PARK RD, CHICAGO, IL 60618-3219
(773) 509-9682
(773) 509-9339

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
IL

Other

Enumeration date
10/18/2005
Last updated
12/14/2007
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