Individual
DR. MELISSA DAZA MONDERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1108 N WELLS ST, CHICAGO, IL 60610-2525
(312) 500-7080
Mailing address
1937 W WABANSIA AVE, CHICAGO, IL 60622-1343
(312) 933-8304
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019024160
IL
1223G0001X
General Practice Dentistry
Primary
—
IL
Other
Enumeration date
03/22/2007
Last updated
07/07/2026
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