Organization
ISRAEL J WARENS DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ISRAEL JACINTO WARENS DDS (PRESIDENT)
(773) 792-1313
Entity
Organization
Contact information
Practice address
5406 W DEVON AVE, SUITE 200, CHICAGO, IL 60646-4136
(773) 792-1313
Mailing address
5406 W DEVON AVE, SUITE 200, CHICAGO, IL 60646-4136
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
IL
Other
Enumeration date
05/17/2007
Last updated
08/22/2020
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