Individual
DR. DARREN CYRUS PAKRAVAN
Active
Individual
DR. DARREN CYRUS PAKRAVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.S.
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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