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Individual

DEBRA G ALAVI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DDS, MS

Contact information

Practice address
433 N BOLINGBROOK DR, BOLINGBROOK, IL 60440-3704
(630) 759-4191
Mailing address
2 S 623 AVE CHATEAUX, OAK BROOK, IL 60523
(630) 664-5232

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
021-001216
IL

Other

Enumeration date
10/20/2006
Last updated
09/21/2010
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