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Individual

DENISE DIMITRA BOZONELOS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.D.S.

Contact information

Practice address
39 E COLORADO AVE, FRANKFORT, IL 60423-1385
(708) 789-9289
(708) 789-9285
Mailing address
39 E COLORADO AVE, FRANKFORT, IL 60423-1385
(708) 789-9289
(708) 789-9285

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
019.028614
IL
1223P0221X
Pediatric Dentistry
Primary
021.002534
IL

Other

Enumeration date
03/21/2011
Last updated
10/25/2023
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