Individual
DR. MICHAEL STEVEN CARRERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
4148 S ARCHER AVE, CHICAGO, IL 60632-1825
(773) 247-3345
Mailing address
4148 S ARCHER AVE, CHICAGO, IL 60632-1825
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019.033142
IL
Other
Enumeration date
06/10/2021
Last updated
08/16/2021
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