Individual
MAYA BENES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
2254 S CICERO AVE, CICERO, IL 60804-2411
(708) 656-2222
Mailing address
1318 S OAKLEY AVE, CHICAGO, IL 60608-1108
(312) 437-0073
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019.030774
IL
Other
Enumeration date
06/29/2016
Last updated
06/29/2016
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