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Individual

CAROLA MORALES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1220 S WOOD ST, CHICAGO, IL 60608-1202
(312) 996-2000
Mailing address
1022 S MENARD AVE, CHICAGO, IL 60644-5426
(773) 653-5714

Taxonomy

Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
020.015581
IL

Other

Enumeration date
12/23/2021
Last updated
12/23/2021
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