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Individual

DR. DARREN CYRUS PAKRAVAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S., M.S.

Contact information

Practice address
2921 N LINCOLN AVE, GROUND FLOOR, CHICAGO, IL 60657-8618
(773) 697-8038
Mailing address
2921 N LINCOLN AVE, GROUND FLOOR, CHICAGO, IL 60657-8618

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
019026387
IL
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
021002299
IL

Other

Enumeration date
06/13/2008
Last updated
02/11/2011
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