Individual
DR. MARTEKI CODJOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1370 E 53RD ST, CHICAGO, IL 60615-4496
(773) 731-3300
Mailing address
1370 E 53RD ST, CHICAGO, IL 60615-4496
(773) 731-3300
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019.031713
IL
1223G0001X
General Practice Dentistry
12013522A
IN
Other
Enumeration date
06/15/2018
Last updated
06/12/2023
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