Individual
DR. LYUDMILA ROMANOVNA TAVOLZHANSKAYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S
Contact information
Practice address
6169 N NORTHWEST HWY, CHICAGO, IL 60631-2140
(773) 792-2266
(773) 792-2272
Mailing address
804 DOBSON ST, APT 2, EVANSTON, IL 60202-3999
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
IL
Other
Enumeration date
07/09/2006
Last updated
07/08/2007
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