Individual
GABRIEL UTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
9194 W 159TH ST, ORLAND PARK, IL 60462-5648
(708) 364-1880
(708) 745-5109
Mailing address
9194 W 159TH ST, ORLAND PARK, IL 60462-5648
(708) 364-1880
(708) 745-5109
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019025179
IL
Other
Enumeration date
03/11/2010
Last updated
03/11/2010
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