Individual
KATY AVILA CORREA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1780 N FARNSWORTH AVE, AURORA, IL 60505-1576
(630) 585-9333
Mailing address
1412 ROLLING GROVE CT, NAPERVILLE, IL 60540-6355
(858) 414-5879
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019.031758
IL
Other
Enumeration date
06/18/2018
Last updated
06/18/2018
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