Individual
DR. MELISSA K EWA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
9300 S CENTRAL PARK AVE, EVERGREEN PARK, IL 60805-1809
(773) 610-2549
Mailing address
9300 S CENTRAL PARK AVE, EVERGREEN PARK, IL 60805-1809
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019.030096
IL
Other
Enumeration date
01/13/2015
Last updated
01/13/2015
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