Individual
DR. CARLY RAE PARAGAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
6154 159TH ST, OAK FOREST, IL 60452-2906
(708) 687-0100
Mailing address
6154 159TH ST, OAK FOREST, IL 60452-2906
(708) 687-0100
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019028263
IL
1223G0001X
General Practice Dentistry
019028263
IL
Other
Enumeration date
07/16/2010
Last updated
06/22/2023
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